Rescue Circumflex Artery Stenting for Major Right Ventricular Dysfunction after Ross-Konno Operation

Authors

  • Patrick O. Myers
  • Yacine Aggoun
  • Mustafa Cikirikcioglu
  • Afksendiyos Kalangos

DOI:

https://doi.org/10.1532/HSF98.20091052

Abstract

A single coronary artery is an anomaly in which only 1 coronary artery arises from the aortic root, supplying the entire heart. We report the case of a 5-year-old girl in whom a single coronary artery ostium was discovered during a Ross-Konno operation. This patient required extracorporeal membrane oxygenation for postoperative right ventricular infarction due to proximal stenosis of a dominant left circumflex artery in combination with an occluded minor right coronary artery. Rescue stent implantation allowed for recovery of right ventricular function and weaning from extracorporeal membrane oxygenation.

References

Gaudino M, Glieca F, Bruno P, Piancone FL, Alessandrini F, Possati G. 1997. Unusual right coronary artery anomaly with major implication during cardiac operations. Ann Thorac Surg 64:838nHussain ST, Khoury SF. 2008. An illustrative case of an absent right coronary artery. J Invasive Cardiol 20:150.nKang WC, Han SH, Ahn TH, Shin EK. 2006. Images in cardiology: unusual dominant course of left circumflex coronary artery with absent right coronary artery. Heart 92:657.nMorice MC, Serruys PW, Sousa JE, et al. 2002. A randomized comparison of a sirolimus-eluting stent with a standard stent for coronary revascularization. N Engl J Med 346:1773-80.nMoses JW, Leon MB, Popma JJ, et al. 2003. Sirolimus-eluting stents versus standard stents in patients with stenosis in a native coronary artery. N Engl J Med 349:1315-23.nNewburger JW, Takahashi M, Gerber MA, et al. 2004. Diagnosis, treatment, and long-term management of Kawasaki disease: a statement for health professionals from the Committee on Rheumatic Fever, Endocarditis and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association. Circulation 110:2747-71.nSchofer J, Schlüter M, Gershlick AH, et al. 2003. Sirolimus-eluting stents for treatment of patients with long atherosclerotic lesions in small coronary arteries: double-blind, randomised controlled trial (E-SIRIUS). Lancet 362:1093-9.nTissot C, da Cruz E, Aggoun Y. 2007. Rescue left main coronary artery stenting for acute myocardial ischemia after coronary angiography in a 7-year-old girl with homozygous familial hypercholesterolemia. Catheter Cardiovasc Interv 69:243-7.nVirmani R, Chun PK, Parker J, McAllister HA Jr. 1982. Suture obliteration of the circumflex coronary artery in three patients undergoing mitral valve operation: role of left dominant or codominant coronary artery. J Thorac Cardiovasc Surg 84:773-8.n

Published

2009-08-14

How to Cite

Myers, P. O., Aggoun, Y., Cikirikcioglu, M., & Kalangos, A. (2009). Rescue Circumflex Artery Stenting for Major Right Ventricular Dysfunction after Ross-Konno Operation. The Heart Surgery Forum, 12(4), E208-E210. https://doi.org/10.1532/HSF98.20091052

Issue

Section

Articles