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

  • Maggie L. Likes (a1), Norman H. Silverman (a2), Erin L. Albers (a1), Raylene Choy (a1), Aarti Bhat (a1) and David M. McMullan (a1)...


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.


Corresponding author

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:


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