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

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 ca...

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Bibliographic Details
Published in:Cardiology in the young 2016-06, Vol.26 (5), p.991-992
Main Authors: Pizzuto, Matthew F., Zampi, Jeffrey D.
Format: Article
Language:English
Subjects:
Aortic Coarctation - diagnostic imaging
Brief Reports
Coronary Angiography
Coronary Vessel Anomalies - diagnostic imaging
Echocardiography
Electrocardiography
Female
Heart Defects, Congenital - diagnostic imaging
Heart Defects, Congenital - surgery
Humans
Infant
Mitral Valve - abnormalities
Mortality
Ultrasonic imaging
Veins & arteries
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Summary: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.
ISSN:1047-9511
1467-1107
DOI:10.1017/S1047951116000019