Occlusion of the left main coronary artery os by a tethered aortic valve cusp.

Soslow, Jonathan H; Saurers, Daniel L; Dodd, Debra A; Doyle, Thomas P; Bichell, David P; Kavanaugh-McHugh, Ann · Ann Thorac Surg · 2014

case_report · Level V

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Abstract

We report a 4-month-old girl who presented with poor ventricular function and was found to have occlusion of the left main coronary artery os by a tethered aortic cusp. The patient underwent surgical delamination of the aortic valve leaflet, revealing a normal left coronary os. After operative repair, her left ventricular function improved significantly. This diagnosis should be included in the differential in all children presenting with cardiac dysfunction.

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