We report a case of a 3-month-old child, presenting with signs of myocardial ischemia and hemodynamic instability, requiring extracorporeal membrane oxygenation support. Due to the unclear preoperative instrumental findings, a surgical exploration was performed revealing the presence of coronary ostia stenosis and an intramural course of both coronary arteries. The child underwent a successful plasty of the coronary artery ostia by resecting the excessive obstructing fibrous tissue followed by unroofing of the intramural coronary artery course with restoring of a normal myocardial perfusion and function.

Intraoperative Diagnosis of Bilateral Coronary Ostia Stenosis: A Rare Case of Ischemic Heart Disease in a 3-Month-Old Patient / Assunta Fabozzo;Vladimiro L. Vida;Elena Reffo;Massimo A. Padalino;Ornella Milanesi;Giovanni Stellin. - In: ANNALS OF THORACIC SURGERY. - ISSN 0003-4975. - STAMPA. - 92:(2011), pp. 1875-1877. [10.1016/j.athoracsur.2011.04.039]

Intraoperative Diagnosis of Bilateral Coronary Ostia Stenosis: A Rare Case of Ischemic Heart Disease in a 3-Month-Old Patient

FABOZZO, ASSUNTA;
2011

Abstract

We report a case of a 3-month-old child, presenting with signs of myocardial ischemia and hemodynamic instability, requiring extracorporeal membrane oxygenation support. Due to the unclear preoperative instrumental findings, a surgical exploration was performed revealing the presence of coronary ostia stenosis and an intramural course of both coronary arteries. The child underwent a successful plasty of the coronary artery ostia by resecting the excessive obstructing fibrous tissue followed by unroofing of the intramural coronary artery course with restoring of a normal myocardial perfusion and function.
2011
Intraoperative Diagnosis of Bilateral Coronary Ostia Stenosis: A Rare Case of Ischemic Heart Disease in a 3-Month-Old Patient / Assunta Fabozzo;Vladimiro L. Vida;Elena Reffo;Massimo A. Padalino;Ornella Milanesi;Giovanni Stellin. - In: ANNALS OF THORACIC SURGERY. - ISSN 0003-4975. - STAMPA. - 92:(2011), pp. 1875-1877. [10.1016/j.athoracsur.2011.04.039]
Assunta Fabozzo;Vladimiro L. Vida;Elena Reffo;Massimo A. Padalino;Ornella Milanesi;Giovanni Stellin
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/395981
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