Near-fatal neonatal coronary ischaemia associated with intermittent aortic regurgitation: successful surgical treatment

Cardiol Young. 2015 Dec;25(8):1531-5. doi: 10.1017/S1047951115002024.

Abstract

An infant presented with features suggestive of an anomalous left coronary artery was found to have normal origins of both coronary arteries. Echocardiography during episodes of ischaemia showed marked aortic regurgitation with retrograde coronary flow. The left coronary leaflet was mildly hypoplastic. Surgical re-suspension of this leaflet prevented aortic regurgitation and the patient had no further symptoms and recovered cardiac function.

Keywords: Anomalous left coronary artery; ischaemic myopathy; life threatening events.

Publication types

  • Case Reports

MeSH terms

  • Aortic Valve Insufficiency / complications
  • Aortic Valve Insufficiency / diagnosis
  • Aortic Valve Insufficiency / diagnostic imaging*
  • Aortic Valve Insufficiency / surgery
  • Cardiac Valve Annuloplasty
  • Coronary Vessels / diagnostic imaging*
  • Echocardiography, Doppler, Color
  • Echocardiography, Three-Dimensional
  • Echocardiography, Transesophageal
  • Electrocardiography
  • Female
  • Humans
  • Infant, Newborn
  • Myocardial Ischemia / diagnosis
  • Myocardial Ischemia / diagnostic imaging*
  • Myocardial Ischemia / etiology