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ZJUS-B
Journal of Zhejiang University-SCIENCE B (Biomedicine & Biotechnology)  2010, Vol. 11 Issue (7): 539-541    DOI: 10.1631/jzus.B0900361
Biomedicine     
Congenital atresia of the left main coronary artery in an infant
Su Ye Sohn, Gi Young Jang, Byung Min Choi
Department of Pediatrics, Korea University Hospital, Ansan 425-707, Korea
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Abstract  Congenital atresia of the left main coronary artery is a rare occurrence, and surgical revascularization-bypass graft is required. We here report a rare case of congenital coronary anomaly in an infant. A 10-month-old male infant was admitted to the hospital with heart failure symptoms. Echocardiographic examinations revealed mitral valve regurgitation and ischemic changes of the anterolateral papillary muscle and chordae. Coronary angiography showed atresia of the left main coronary artery with a severe hypoplastic left anterior descending artery and a circumflex coronary artery. Unfortunately, sudden cardiac arrest occurred after catheterization and the infant did not recover despite of immediate cardiopulmonary resuscitation. Further studies are needed to find a newer diagnostic method to detect coronary anomaly in an infant, and coronary angiography, if necessary, has to be performed very carefully.

Key words： Congenital heart disease      Anomalous coronaries      Infant     
Received: 11 November 2009      Published: 04 July 2010
CLC:  R72  
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Su Ye Sohn
Gi Young Jang
Byung Min Choi
Cite this article:

Su Ye Sohn, Gi Young Jang, Byung Min Choi. Congenital atresia of the left main coronary artery in an infant. Journal of Zhejiang University-SCIENCE B (Biomedicine & Biotechnology), 2010, 11(7): 539-541.

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http://www.zjujournals.com/xueshu/zjus-b/10.1631/jzus.B0900361     OR     http://www.zjujournals.com/xueshu/zjus-b/Y2010/V11/I7/539

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