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.
Assunta Fabozzo, Vladimiro L. Vida, Elena Reffo, Massimo A. Padalino, Ornella Milanesi, Giovanni Stellin (2011). Intraoperative Diagnosis of Bilateral Coronary Ostia Stenosis: A Rare Case of Ischemic Heart Disease in a 3-Month-Old Patient. ANNALS OF THORACIC SURGERY, 92, 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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
