Compression of an anomalous single coronary artery from pulmonary artery by banding

This report describes a case with double outlet right ventricle and doubly committed ventricular septal defect associated with congenital diaphragmatic hernia. The patient underwent pulmonary artery banding and clipping of patent ductus arteriosus after repair of the diaphragmatic hernia. At 6 month...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2012-04, Vol.41 (4), p.e59-e61
Main Authors: Kawamura, Akemi, Oshima, Yoshihiro, Maruo, Ayako, Matsuhisa, Hironori
Format: Article
Language:English
Subjects:
Abnormalities, Multiple - surgery
Constriction
Coronary Stenosis - diagnostic imaging
Coronary Stenosis - etiology
Coronary Stenosis - surgery
Coronary Vessel Anomalies - diagnostic imaging
Coronary Vessel Anomalies - surgery
Double Outlet Right Ventricle - surgery
Ductus Arteriosus, Patent - surgery
Heart Septal Defects, Ventricular - surgery
Hernia, Diaphragmatic - surgery
Hernias, Diaphragmatic, Congenital
Humans
Infant, Newborn
Male
Pulmonary Artery - abnormalities
Pulmonary Artery - diagnostic imaging
Pulmonary Artery - surgery
Radiography
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Summary:This report describes a case with double outlet right ventricle and doubly committed ventricular septal defect associated with congenital diaphragmatic hernia. The patient underwent pulmonary artery banding and clipping of patent ductus arteriosus after repair of the diaphragmatic hernia. At 6 months, cardiac catheterization revealed anomalous origin of a single coronary artery from the pulmonary artery of the proximal banding. Although ischaemic symptoms had not been observed, the banding had resulted in compression of the coronary ostium. An emergency Rastelli procedure with Damus-Kaye-Stansel anastomosis was successfully performed.
ISSN:1010-7940
1873-734X
DOI:10.1093/ejcts/ezr269