Abstract
Atresia of the main stem of the left coronary artery is the least observed congenital
coronary anomaly; most patients tend to receive a coronary artery bypass graft, although
some anatomical corrections have been described. A 17-year-old female patient with
left coronary artery main stem atresia underwent a coronary trunk construction with
an autologous pericardial patch in our department. At a 3-year follow-up, the patient
was asymptomatic, with a normal cardiac stress test. The coronary computed tomography
showed no stenosis between the aorta and coronary bifurcation. Long-term patency has
yet to be determined.
Résumé
L’atrésie de l’artère coronaire gauche principale est l’anomalie coronarienne congénitale
la plus rarement observée; la plupart des patients subissent un pontage aorto-coronarien,
bien que certaines corrections anatomiques aient été décrites. Une patiente de 17
ans présentant une atrésie de l’artère coronaire gauche principale a subi dans notre
service, à une construction du tronc coronaire effectuée à l’aide d’un patch péricardique
autologue. Au suivi après 3 ans, la patiente était asymptomatique et a obtenu des
résultats normaux à l’épreuve d’effort cardiaque. La tomographie par ordinateur de
l’artère coronaire ne révélait aucune sténose entre l’aorte et la bifurcation coronaire.
La perméabilité à long terme reste à établir.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Canadian Journal of CardiologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Left main coronary artery atresia: literature review and therapeutical considerations.Eur J Cardiothorac Surg. 1997; 11: 505-514
- Left main coronary atresia.J Card Surg. 2013; 28: 37-46
- Twenty-five-year outcome of pediatric coronary artery bypass surgery for Kawasaki disease.Circulation. 2009; 120: 60-68
- Surgical reconstruction of the left main coronary artery: fresh autologous pericardium or saphenous vein patch.Ann Thorac Surg. 2004; 78: 1610-1613
- Coronary ostioplasty for congenital atresia of the left main coronary artery ostium.Ann Thorac Surg. 2012; 94: 1307-1310
Article info
Publication history
Published online: June 19, 2019
Accepted:
June 5,
2019
Received:
February 17,
2019
Footnotes
See page 1419.e7 for disclosure information.
Identification
Copyright
© 2019 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
