Ventricular septal defect with anomalous origin of the left descending coronary artery from the right sinus of Valsava and an intraseptal course

被引:0
|
作者
Carles, Guillaume [1 ]
Peyre, Marianne [1 ]
Dabadie, Alexia [2 ]
Mace, Loic [3 ]
Lenoir, Marien [3 ]
机构
[1] Aix Marseille Univ, Hop Timone Enfant, AP HM, Dept Pediat Cardiol, Marseille, France
[2] Aix Marseille Univ, Hop Timone Enfant, AP HM, Dept Pediat Radiol, Marseille, France
[3] Aix Marseille Univ, Hop Timone Enfant, AP HM, Dept Pediat Cardiac Surg, 264 Rue St Pierre, F-13385 Marseille 5, France
来源
关键词
Anomalous aortic origin of a coronary artery; trans-septal coronary artery; transconal unroofing; SUDDEN-DEATH;
D O I
10.1177/02184923211047054
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patients with anomalous aortic origin of the left anterior descending coronary artery (AAOCA) from the right sinus of Valsava, and associated with a trans-septal course, are recommended for surgery only when symptoms of ischemia are present. The transconal unroofing method is straightforward and provides good anatomic result. In absence of significant coronary compression, surgical management of the trans-septal coronary course is proposed if the patient is a candidate to cardiac surgery for another reason, such as congenital heart disease. We describe a transconal approach in a patient with a trans-septal coronary artery and a ventricular septal defect.
引用
收藏
页码:722 / 725
页数:4
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