Intraoperative diagnosis of bilateral coronary ostia stenosis: a rare case of ischemic heart disease in a 3-month-old patient |
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| Authors: | Fabozzo Assunta Vida Vladimiro L Reffo Elena Padalino Massimo A Milanesi Ornella Stellin Giovanni |
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| Affiliation: | aPediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic, and Vascular Surgery, University of Padua, Padua, Italy;bPediatric Cardiology Unit, Department of Pediatrics, University of Padua, Padua, Italy |
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| Abstract: | We report a case of a 3-month-old child, presenting with signs of myocardial ischemia and hemodynamic instability, requiring extracorporeal membrane oxygenation support. Due to the unclear preoperative instrumental findings, a surgical exploration was performed revealing the presence of coronary ostia stenosis and an intramural course of both coronary arteries. The child underwent a successful plasty of the coronary artery ostia by resecting the excessive obstructing fibrous tissue followed by unroofing of the intramural coronary artery course with restoring of a normal myocardial perfusion and function. |
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| Keywords: | CTSNet classification: 21 |
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