Percutaneous Transluminal Coronary Angioplasty for Postoperative Left Coronary Artery Stenosis Following Surgical Reconstruction of Congenital Atresia of the Left Main Coronary Artery

Daiji Takeuchi; Yoshiki Mori; Kanta Kishi; Tae Nakajima; Makoto Nakazawa; Yukio Tsurumi; Hiromi Kurosawa; Toshio Nakanishi

doi:10.1253/circj.CJ-08-0136

Case Reports

Percutaneous Transluminal Coronary Angioplasty for Postoperative Left Coronary Artery Stenosis Following Surgical Reconstruction of Congenital Atresia of the Left Main Coronary Artery

Daiji Takeuchi, Yoshiki Mori, Kanta Kishi, Tae Nakajima, Makoto Nakazawa, Yukio Tsurumi, Hiromi Kurosawa, Toshio Nakanishi

Author information

Daiji Takeuchi
Department of Pediatric Cardiology, Heart Institute, Tokyo Women's Medical University
Yoshiki Mori
Department of Pediatric Cardiology, Heart Institute, Tokyo Women's Medical University
Kanta Kishi
Department of Pediatric Cardiology, Heart Institute, Tokyo Women's Medical University
Tae Nakajima
Department of Pediatric Cardiology, Heart Institute, Tokyo Women's Medical University
Makoto Nakazawa
Department of Pediatric Cardiology, Heart Institute, Tokyo Women's Medical University
Yukio Tsurumi
Department of Cardiology, Heart Institute, Tokyo Women's Medical University
Hiromi Kurosawa
Department of Cardiovascular Surgery, Heart Institute, Tokyo Women's Medical University
Toshio Nakanishi
Department of Pediatric Cardiology, Heart Institute, Tokyo Women's Medical University

Keywords: Atresia, Coronary artery stenosis, Left main coronary ostium, Percutaneous transluminal coronary angioplasty

JOURNAL FREE ACCESS

2009 Volume 73 Issue 12 Pages 2360-2362

DOI https://doi.org/10.1253/circj.CJ-08-0136

View "Advance Publication" version (June 3, 2009).

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Abstract

Congenital atresia of the left main coronary ostium is a rare coronary artery anomaly. A 3-year-old boy who was asymptomatic had a heart murmur because of mitral regurgitation. He underwent reconstruction of the left main coronary artery, but stenosis occurred in the early postoperative period. Although the patient underwent repair of the coronary artery stenosis, the distal portion of the left coronary artery re-stenosed. Percutaneous transluminal coronary angioplasty for the stenosis was performed successfully and there has not been any sign of re-stenosis for 30 months to date. (Circ J 2009; 73: 2360-2362)

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