Key result
Anomalous left coronary artery reimplantation complicated by tight ostial stenosis requires LIMA-to-LAD bypass.
Why the study?
Malignant anomalous left coronary artery can cause acute coronary syndrome and may lead to post-operative complications such as secondary stenosis after reimplantation surgery.
Case Report (n=1)
This case highlights the importance of multi-modality imaging in diagnosing coronary artery anomalies and detecting post-surgical complications such as ostial stenosis following reimplantation.
We present a case of a 14-year-old boy who presented with symptoms resulting from an anomalous left coronary artery. He underwent corrective surgery to reimplant the left coronary artery into the left coronary sinus. After 3 months, he developed new symptoms. On further investigation, a tight ostial stenosis of the left coronary artery was observed and the patient underwent left internal mammary artery to left anterior descending coronary artery bypass graft. This case showcases the importance of multi-modality imaging in the diagnosis of coronary artery anomalies and potential post-surgical complications.
No takes yet. Share an insight, caveat, or question.
Banerjee et al. (2012) conducted a case report in Malignant anomalous left coronary artery (n=1). Corrective surgery to reimplant the left coronary artery was evaluated on Post-operative secondary stenosis. Corrective surgery to reimplant an anomalous left coronary artery in a 14-year-old boy was complicated by tight ostial stenosis at 3 months, requiring a LIMA-to-LAD bypass graft.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: