Anomalies of left coronary artery origin affecting surgical repair of hypoplastic left heart syndrome and shone complex

Tania Saroli*, Sarah Gelehrter, Carlen A. Gomez-Fifer, Mary E. Van Der Velde, Edward L. Bove, Gregory J. Ensing

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

There has traditionally been less concern regarding coronary anomalies with left-sided congenital heart lesions such as hypoplastic left heart syndrome (HLHS) or Shone complex than with other lesions. However, coronary anomalies in this setting can profoundly affect surgical intervention, particularly when surgical repair involves the ascending aorta. We describe four patients with congenital left-sided heart lesions in which left coronary artery (LCA) anomalies substantially affected intervention and outcome. In the first two cases, the coronary anomalies were not identified prospectively and resulted in surgical injury directly to the coronary or to its surrounding region. In the latter two cases, successful identification of the coronary anomaly preoperatively allowed for modification of surgical technique and/or intervention. We conclude that detailed coronary artery assessment should be part of the routine echocardiographic evaluation of congenital left-sided heart lesions that require surgery.

Original languageEnglish (US)
Pages (from-to)727-731
Number of pages5
JournalEchocardiography
Volume25
Issue number7
DOIs
StatePublished - Aug 2008

Keywords

  • Coronary artery anomalies
  • Hypoplastic Left Heart Syndrome
  • Shone complex

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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