Congenitally abnormal aortic valve causing coronary obstruction and cardiac arrest in infancy

Authors

Mubeena Abdulkarim, Advocate Aurora HealthFollow
Julia Weld, Advocate Aurora HealthFollow
William Cohen
Pamela CombsFollow
Dhaval Patel, Advocate Aurora HealthFollow
Chawki El-Zein, Advocate Aurora HealthFollow
Michel Ilbawi, Advocate Aurora HealthFollow
Luca Vricella, Advocate Aurora HealthFollow
Narutoshi Hibino, Advocate Aurora HealthFollow

Recommended Citation

Abdulkarim M, Weld J, Cohen W, et al. Congenitally Abnormal Aortic Valve Causing Coronary Obstruction and Cardiac Arrest in Infancy. Ann Thorac Surg. 2021;111(5):e339-e341. doi:10.1016/j.athoracsur.2020.07.070

Affiliations

Advocate Children's Heart Institute, Advocate Children's Hospital

Abstract

Many instances of coronary artery anomalies are documented in the literature; however, the detection and treatment of an asymmetric, large aortic cusp causing obstruction of a coronary ostium in a symptomatic infant remains unreported. We present a case of a two-month-old infant with an enlarged right coronary cusp obstructing the left coronary ostium, requiring emergent repair by relocating the left coronary button and reconstructing the sinus of Valsalva with autologous pericardium. This procedure preserved native aortic valve function, and the child remains asymptomatic months after discharge.

Document Type

Article

PubMed ID

33069680