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Surgical Treatment for Left Main Coronary Atresia with Significant Mitral Regurgitation in a 1-Year-Old Child

류승우, 표원경, 최은석, 박천수, 유정진, 윤태진, 정철현,
소속 상세정보
류승우 ( Ryu Seung-Woo ) - University of Ulsan College of Medicine Asan Medical Center Department of Thoracic and Cardiovascular Surgery
표원경 ( Pyo Won-Kyung ) - University of Ulsan College of Medicine Asan Medical Center Department of Thoracic and Cardiovascular Surgery
최은석 ( Choi Eun-Seok ) - University of Ulsan College of Medicine Asan Medical Center Department of Thoracic and Cardiovascular Surgery
박천수 ( Park Chun-Soo ) - University of Ulsan College of Medicine Asan Medical Center Department of Thoracic and Cardiovascular Surgery
유정진 ( Yu Jeong-Jin ) - University of Ulsan College of Medicine Asan Medical Center Department of Pediatrics
윤태진 ( Yun Tae-Jin ) - University of Ulsan College of Medicine Asan Medical Center Department of Thoracic and Cardiovascular Surgery
정철현 ( Chung Cheol-Hyun ) - University of Ulsan College of Medicine Asan Medical Center Department of Thoracic and Cardiovascular Surgery

Abstract


Congenital atresia of the left main coronary artery (LMCA) is an extremely rare coronary anomaly that necessitates surgical correction. Patients with LMCA atresia may have various clinical symptoms, which are determined by the degree of collateral vessel development from the right coronary system, the metabolic demands of the heart, and concomitant mitral insufficiency caused by myocardial ischemia. Unlike in adults, there are limited surgical options for coronary artery disease in children. Herein, we report a case of LMCA atresia with mitral regurgitation in a 19-month-old child that was successfully corrected by coronary artery bypass grafting and mitral valve repair.

키워드

Congenital heart disease; Coronary artery bypass; Mitral valve; Repair

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