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Coronary steal phenomenon following right ventricle decompression and revascularization of atretic left coronary ostium: case report.
Pajak, Jacek; Karolczak, Maciej Aleksander; Buczynski, Michal; Madry, Wojciech; Grégoire, Darren James; Werynski, Piotr; Król-Jawien, Wanda; Godlewski, Krzysztof; Tomkiewicz-Pajak, Lidia; Kuzma, Jacek.
Affiliation
  • Pajak J; Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland. kuzmajacek@yahoo.com.
  • Karolczak MA; Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland.
  • Buczynski M; Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland.
  • Madry W; Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland.
  • Grégoire DJ; Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland.
  • Werynski P; Department of Pediatric Cardiology, University Children's Hospital of Krakow, Collegium Medicum, Jagiellonian University, Krakow, Poland.
  • Król-Jawien W; Department of Pediatric Cardiology, University Children's Hospital of Krakow, Collegium Medicum, Jagiellonian University, Krakow, Poland.
  • Godlewski K; Pediatric Cardiology and General Pediatrics Clinic, Medical University of Warsaw, Warsaw, Poland.
  • Tomkiewicz-Pajak L; Department of Cardiac and Vascular Disease, Collegium Medicum, Jagiellonian University, John Paul II Hospital, Krakow, Poland.
  • Kuzma J; Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland.
J Cardiothorac Surg ; 16(1): 299, 2021 Oct 13.
Article in En | MEDLINE | ID: mdl-34645497
ABSTRACT

BACKGROUND:

Coronary steal phenomenon and myocardial ischemia is a complication following decompression of a hypertensive right ventricle in patients with left coronary-cameral fistulae. CASE PRESENTATION We present a 12-year-old girl with a complex heart defect successfully operated on using a hybrid surgical-interventional approach to decompress the ventricle, embolize the fistula and reconstruct the atretic left coronary ostium.

CONCLUSIONS:

A novel hybrid strategy is the best solution for coronary-cameral fistulas reliant on high ventricular pressure at high risk for coronary steal phenomenon.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Coronary Artery Disease / Coronary Vessel Anomalies / Heart Defects, Congenital Limits: Child / Female / Humans Language: En Journal: J Cardiothorac Surg Year: 2021 Document type: Article Affiliation country: Polonia
Fulltext
Add to My VHL
Print
XML
PubMed Links
Search on Google

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Coronary Artery Disease / Coronary Vessel Anomalies / Heart Defects, Congenital Limits: Child / Female / Humans Language: En Journal: J Cardiothorac Surg Year: 2021 Document type: Article Affiliation country: Polonia