Hostname: page-component-77c89778f8-sh8wx Total loading time: 0 Render date: 2024-07-17T18:11:14.153Z Has data issue: false hasContentIssue false

Congenital absence of coronary ostia in a single/common coronary system

Published online by Cambridge University Press:  21 June 2019

Courtney E. Wein*
Affiliation:
Division of Cardiology, Nicklaus Children’s Hospital, Miami, FL, USA
Paul M. Weinberg
Affiliation:
Cardiac Center, Children’s Hospital of Philadelphia, Philadelphia, PA, USA
Kristine J. Guleserian
Affiliation:
Division of Cardiovascular Surgery, Nicklaus Children’s Hospital, Miami, FL, USA
*
Author for Correspondence: Courtney Wein, D.O. Nicklaus Children’s Hospital (NCH), 3100 SW 62 Avenue, Miami, FL 33155-3009, USA. Tel: +1 305 662 8301; E-mail: Courtney.wein@nicklaushealth.org

Abstract

Coronary ostial atresia seen with pulmonary atresia and coronary-cameral fistulae or, more rarely, in isolation manifested as left main coronary artery atresia, is well described. We describe the clinical course and post-mortem findings in a neonate who suffered a fatal cardiac arrest and was found to have congenital absence of both coronary ostia in a single/common coronary system.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Musiani, A, Cernigliaro, C, Sansa, M, DeGasperis, C. Left main coronary artery atresia: literature review and therapeutical considerations. Eur J Cardiothorac Surg 1997; 11: 505514.CrossRefGoogle ScholarPubMed
Gebauer, R. Cerny, S, Vojtovic, P, Tax, P. Congenital atresia of the left coronary artery-myocardial revascularization in two children. Interact Cardiovasc Thorac Surg 2008; 7: 11741175.CrossRefGoogle ScholarPubMed
Olawale, O, Kearney, D, Krishnamurth, R, et al. First description of coronary artery ostial atresia with fistulous origin from a normal right ventricle. Pediatr Cardiol 2013; 34: 18771881.Google Scholar
Bogers, AJ, Gittenberger-de Groot, AC, Poelmann, RE, Péault, BM, Huysmans, HA. Development of the origin of the coronary arteries, a matter of ingrowth or outgrowth? Anat Embryol 1989; 180: 437441.CrossRefGoogle ScholarPubMed
Guleserian, KJ, Armsby, LB, Thiagarajan, RR, et al. Natural history of pulmonary atresia with intact ventricular septum and right ventricle dependent coronary circulation managed by the single-ventricle approach. Ann Thorac Surg 2006; 81: 22502258.CrossRefGoogle ScholarPubMed
Rosenkranz, ER, Murphy, DJ Jr, Cosgrove, DM 3rd. Surgical management of left coronary artery ostial atresia and supravalvar aortic stenosis. Ann Thorac Surg 1992; 54: 779781.CrossRefGoogle ScholarPubMed
Tomanek, RJ. Developmental progression of the coronary vasculature in human embryos and fetuses. Anat Rec 2015; 299: 2541.CrossRefGoogle ScholarPubMed
Eralp, I, Lie-Venema, H, DeRuiter, VM, et al. Coronary artery and orfice development is associated with proper timing of epicardial outgrowth and correleated FAS ligand associated apoptosis patterns. Circ Res 2005; 96: 526534.CrossRefGoogle Scholar
Gittenberger-de Groot, AC, Sauer, U, Bindl, L, et al. Competition of coronary arteries and ventriculo-coronary arterial communications in pulmonary atresia with intact ventricular septum. Int J Cardiol 1988; 18: 243258.CrossRefGoogle ScholarPubMed