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

Autor: Jacek Pająk, Maciej Aleksander Karolczak, Michał Buczyński, Wojciech Mądry, Darren James Grégoire, Piotr Weryński, Wanda Król-Jawień, Krzysztof Godlewski, Lidia Tomkiewicz-Pająk, Jacek Kuźma
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Cardiothoracic Surgery, Vol 16, Iss 1, Pp 1-4 (2021)
Druh dokumentu: article
ISSN: 1749-8090
DOI: 10.1186/s13019-021-01681-x
Popis: 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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