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Near-fatal neonatal coronary ischaemia associated with intermittent aortic regurgitation: successful surgical treatment

Published online by Cambridge University Press:  16 December 2015

Maggie L. Likes ,
Norman H. Silverman ,
Erin L. Albers ,
Raylene Choy ,
Aarti Bhat  and
David M. McMullan
Maggie L. Likes
Affiliation:
Seattle Children’s Hospital, The University of Washington
Norman H. Silverman*
Affiliation:
Division of Pediatric Cardiology, Stanford University, Palo Alto, California 2, United States of America
Erin L. Albers
Affiliation:
Seattle Children’s Hospital, The University of Washington
Raylene Choy
Affiliation:
Seattle Children’s Hospital, The University of Washington
Aarti Bhat
Affiliation:
Seattle Children’s Hospital, The University of Washington
David M. McMullan
Affiliation:
Seattle Children’s Hospital, The University of Washington
*
Correspondence to: N. H. Silverman, MD, Division of Pediatric Cardiology, Stanford University Medical Center, 750 Welch Road, Suite 305, Palo Alto, CA 94304, United States of America. Tel: 650 723 7913; Fax: 650 725 8343; E-mail: norm.silverman@stanford.edu
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Abstract

An infant presented with features suggestive of an anomalous left coronary artery was found to have normal origins of both coronary arteries. Echocardiography during episodes of ischaemia showed marked aortic regurgitation with retrograde coronary flow. The left coronary leaflet was mildly hypoplastic. Surgical re-suspension of this leaflet prevented aortic regurgitation and the patient had no further symptoms and recovered cardiac function.

Keywords

Anomalous left coronary arteryischaemic myopathylife threatening events
Type
Original Articles
Information
Cardiology in the Young , Volume 25 , Issue 8: HeartWeek 2015 , December 2015 , pp. 1531 - 1535
Copyright
© Cambridge University Press 2015 

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References

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