Congenitally Abnormal Aortic Valve Causing Coronary Obstruction and Cardiac Arrest in Infancy

Mubeena Abdulkarim; Julia Weld; William Cohen; Pamela Combs; Dhaval Patel; Chawki El-Zein; Michel Ilbawi; Luca Vricella; Narutoshi Hibino

doi:10.1016/j.athoracsur.2020.07.070

Congenitally Abnormal Aortic Valve Causing Coronary Obstruction and Cardiac Arrest in Infancy

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

Research output: Contribution to journal › Article › peer-review

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 2-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

Original language	English (US)
Pages (from-to)	e339-e341
Journal	Annals of Thoracic Surgery
Volume	111
Issue number	5
DOIs	https://doi.org/10.1016/j.athoracsur.2020.07.070
State	Published - May 2021
Externally published	Yes

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1016/j.athoracsur.2020.07.070

Cite this

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title = "Congenitally Abnormal Aortic Valve Causing Coronary Obstruction and Cardiac Arrest in Infancy",

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 2-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",

author = "Mubeena Abdulkarim and Julia Weld and William Cohen and Pamela Combs and Dhaval Patel and Chawki El-Zein and Michel Ilbawi and Luca Vricella and Narutoshi Hibino",

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AU - Abdulkarim, Mubeena

AU - Weld, Julia

AU - Cohen, William

AU - Combs, Pamela

AU - Patel, Dhaval

AU - El-Zein, Chawki

AU - Ilbawi, Michel

AU - Vricella, Luca

AU - Hibino, Narutoshi

N1 - Funding Information: The authors wish to thank Timothy Phelps, Professor of Art as Applied to Medicine, Johns Hopkins School of Medicine, for his illustration. Publisher Copyright: © 2021 The Society of Thoracic Surgeons

PY - 2021/5

Y1 - 2021/5

N2 - 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 2-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

AB - 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 2-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

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Congenitally Abnormal Aortic Valve Causing Coronary Obstruction and Cardiac Arrest in Infancy

Abstract

ASJC Scopus subject areas

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