Atresia congênita do óstio da artéria coronária esquerda. Dificuldade diagnóstica e revascularizaçäo cirúrgica bem sucedida em dois pacientes / Congenital atresia of the ostium of the left coronary artery. Diagnostic difficulty and successful surgical revascularization in two patients
Arq. bras. cardiol
; 74(4): 335-42, Apr. 2000. ilus
Article
in Portuguese, English
| LILACS
| ID: lil-269902
Responsible library:
BR1.1
ABSTRACT
We report two cases of congenital atresia of the ostium of the left coronary artery. Case 1 a six-month-old infant presenting with serious cardiac insufficiency. A noninvasive diagnosis of dilated myocardiopathy was established and the clinical picture was pharmacologically compensated. When the patient was nine months of age, a hemodynamic study was performed that revealed congenital atresia of the ostium of the left coronary artery; the infant immediately underwent a successful anastomosis of the internal mammary artery with the left coronary artery. Case 2 an eleven-year-old asymptomatic boy with a history of heart murmur from the age of six months on, was refered for surgery with a diagnosis of anomalous origin of the left coronary artery from pulmonary trunk. A definitive diagnosis of atresia of the left coronary ostium was only established during surgery. Successful surgical revascularization with the left internal mammary artery, and left ventricular aneurysmectomy were performed.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Coronary Vessel Anomalies
/
Internal Mammary-Coronary Artery Anastomosis
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Child
/
Humans
/
Infant
/
Male
Language:
English
/
Portuguese
Journal:
Arq. bras. cardiol
Journal subject:
Cardiology
Year:
2000
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de Säo Paulo/BR