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

doi: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

Ann Thorac Surg. 2011 Nov;92(5):1875-7. doi: 10.1016/j.athoracsur.2011.04.039. Epub 2011 Oct 31.

Authors

Assunta Fabozzo¹, Vladimiro L Vida, Elena Reffo, Massimo A Padalino, Ornella Milanesi, Giovanni Stellin

Affiliation

¹ Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic, and Vascular Surgery, University of Padua, Padua, Italy.

PMID: 22051282
DOI: 10.1016/j.athoracsur.2011.04.039

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.

Publication types

Case Reports

MeSH terms

Coronary Stenosis / complications
Coronary Stenosis / diagnosis*
Coronary Stenosis / surgery*
Diagnostic Techniques, Surgical
Humans
Infant
Intraoperative Period
Male
Myocardial Ischemia / etiology