Hostname: page-component-8448b6f56d-cfpbc Total loading time: 0 Render date: 2024-04-25T05:04:39.023Z Has data issue: false hasContentIssue false

Left main coronary artery atresia in an infant with Shone’s complex

Published online by Cambridge University Press:  22 February 2016

Matthew F. Pizzuto
Affiliation:
C.S. Mott Children’s Hospital, Congenital Heart Center, University of Michigan, Ann Arbor, Michigan, United States of America
Jeffrey D. Zampi*
Affiliation:
C.S. Mott Children’s Hospital, Congenital Heart Center, University of Michigan, Ann Arbor, Michigan, United States of America
*
Correspondence to: J. D. Zampi, C.S. Mott Children’s Hospital, Congenital Heart Center, University of Michigan, 1540 E. Hospital Drive, Floor 11, Ann Arbor, MI 48109, United States of America. Tel: +734 936 8997; Fax: +734 936 9470; E-mail: jzampi@med.umich.edu

Abstract

A 6-month-old infant with Shone’s complex was found to have left main coronary artery atresia during evaluation for recurrent subaortic stenosis with depressed left ventricular function. The ventricular function improved after surgical subaortic resection without coronary re-vascularisation. This case demonstrates first the rare finding of left main coronary artery atresia and second that coronary re-vascularisation is not necessarily required in all cases of left main coronary artery atresia.

Type
Brief Reports
Copyright
© Cambridge University Press 2016 

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

1. Lim, DS, Matherne, P. Congenital anomalies of the coronary vessels and the aortic root. In: Allen HD, et al. (eds). Moss and Adams’ Heart Disease in Infants, Children, and Adolescents: Including the Fetus and Young Adults, Chapter 34, 7th edn. Lippincott Williams & Wilkins, Baltimore, MD, 2008: 702715.Google Scholar
2. Musiani, A, Cernigliaro, C, Sansa, M, Maselli, D, De Gasperis, C. Left main coronary artery atresia: literature review and therapeutical considerations. Eur J Cardiothorac Surg 1997; 11: 505514.Google Scholar
3. Juleff, R, Brown, O, McKain, M, Glover, J, Bendick, P. The influence of competitive flow on graft patency. J Cardiovasc Surg (Torino) 1992; 33: 415419.Google Scholar