Rare Case of Neonatal Cardiac Ischemia Due to Intermittent Aortic Insufficiency

Naoki Masaki; Takehiko Onoki; Akira Ozawa; Takashi Tanaka; Chika Kikuchi; Taku Koizumi; Satoshi Matsuo; Sai Sadahiro

doi:10.1016/j.athoracsur.2020.01.080

Rare Case of Neonatal Cardiac Ischemia Due to Intermittent Aortic Insufficiency

Ann Thorac Surg. 2020 Oct;110(4):e295-e297. doi: 10.1016/j.athoracsur.2020.01.080. Epub 2020 Mar 7.

Authors

Naoki Masaki¹, Takehiko Onoki², Akira Ozawa², Takashi Tanaka², Chika Kikuchi³, Taku Koizumi³, Satoshi Matsuo⁴, Sai Sadahiro⁴

Affiliations

¹ Department of Cardiovascular Surgery, Miyagi Children's Hospital, Sendai, Japan. Electronic address: [email protected].
² Department of Cardiology, Miyagi Children's Hospital, Sendai, Japan.
³ Department of Intensive Care Medicine, Miyagi Children's Hospital, Sendai, Japan.
⁴ Department of Cardiovascular Surgery, Miyagi Children's Hospital, Sendai, Japan.

PMID: 32151581
DOI: 10.1016/j.athoracsur.2020.01.080

Abstract

We report a case of a 23-day-old girl who presented with repeated life-threatening myocardial ischemia from intermittent aortic insufficiency because of fixation of the left coronary cusp against the aortic wall. The patient underwent aortic valve repair with partial commissuroplasty of the left-right and left-noncommissures. After the surgical intervention the patient has been well, with no ischemic event for over 1 year. This diagnosis should be considered as a differential diagnosis in pediatric cases with myocardial ischemia.

Publication types

Case Reports

MeSH terms

Aortic Valve Insufficiency / complications*
Aortic Valve Insufficiency / surgery
Female
Humans
Infant, Newborn
Myocardial Ischemia / etiology*
Myocardial Ischemia / surgery