Key result
CABG with supravalvar aortic stenosis repair provides symptom relief at 6-month follow-up in an adolescent.
Why the study?
Congenital atresia of the left main coronary artery is an exceedingly rare anomaly often requiring coronary artery bypass grafting, with limited reports of association with supravalvar aortic stenosis and coronary-pulmonary fistula.
Population
16-year-old boy with congenital LMCA atresia, supravalvar aortic stenosis, and coronary-pulmonary fistula
Design
Case report
Follow-up
6 months
Authors
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Supports procedural feasibility in rare adolescent case; leaves open durability, safety, and generalizability.
Case Report (n=1)
No
Coronary artery bypass grafting combined with repair of supravalvar aortic stenosis was successful in treating a rare case of congenital LMCA atresia with concomitant supravalvar aortic stenosis.
Faraji et al. (2018) conducted a case report in Congenital combined atresia of the left main coronary artery with supravalvar aortic stenosis (n=1). Coronary artery bypass grafting with repair of supravalvar aortic stenosis was evaluated on Postoperative course and symptomatic relief. Coronary artery bypass grafting with repair of supravalvar aortic stenosis resulted in an uneventful postoperative course and symptomatic relief at 6-month follow-up in a 16-year-old boy.
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