Compression of an anomalous single coronary artery from pulmonary artery by banding

Eur J Cardiothorac Surg. 2012 Apr;41(4):e59-61. doi: 10.1093/ejcts/ezr269. Epub 2012 Jan 13.

Abstract

This report describes a case with double outlet right ventricle and doubly committed ventricular septal defect associated with congenital diaphragmatic hernia. The patient underwent pulmonary artery banding and clipping of patent ductus arteriosus after repair of the diaphragmatic hernia. At 6 months, cardiac catheterization revealed anomalous origin of a single coronary artery from the pulmonary artery of the proximal banding. Although ischaemic symptoms had not been observed, the banding had resulted in compression of the coronary ostium. An emergency Rastelli procedure with Damus-Kaye-Stansel anastomosis was successfully performed.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abnormalities, Multiple / surgery
  • Constriction
  • Coronary Stenosis / diagnostic imaging
  • Coronary Stenosis / etiology*
  • Coronary Stenosis / surgery
  • Coronary Vessel Anomalies / diagnostic imaging
  • Coronary Vessel Anomalies / surgery*
  • Double Outlet Right Ventricle / surgery
  • Ductus Arteriosus, Patent / surgery
  • Heart Septal Defects, Ventricular / surgery
  • Hernia, Diaphragmatic / surgery
  • Hernias, Diaphragmatic, Congenital
  • Humans
  • Infant, Newborn
  • Male
  • Pulmonary Artery / abnormalities*
  • Pulmonary Artery / diagnostic imaging
  • Pulmonary Artery / surgery
  • Radiography