Coronary steal phenomenon following right ventricle decompression and revascularization of atretic left coronary ostium: case report.

Autor:	Pająk 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., Buczyński M; Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland., Mądry 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., Weryński P; Department of Pediatric Cardiology, University Children's Hospital of Krakow, Collegium Medicum, Jagiellonian University, Krakow, Poland., Król-Jawień 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-Pająk L; Department of Cardiac and Vascular Disease, Collegium Medicum, Jagiellonian University, John Paul II Hospital, Krakow, Poland., Kuźma J; Department of Cardiac and General Pediatric Surgery, Medical University of Warsaw, Warsaw, Poland.
Jazyk:	angličtina
Zdroj:	Journal of cardiothoracic surgery [J Cardiothorac Surg] 2021 Oct 13; Vol. 16 (1), pp. 299. Date of Electronic Publication: 2021 Oct 13.
DOI:	10.1186/s13019-021-01681-x
Abstrakt:	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. (© 2021. The Author(s).)
Databáze:	MEDLINE
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