CONGENITAL CORONARY-ARTERY OBSTRUCTION ASSOCIATED WITH AORTIC-VALVE ANOMALIES IN CHILDREN - REPORT OF 2 CASES
CONGENITAL CORONARY-ARTERY OBSTRUCTION ASSOCIATED WITH AORTIC-VALVE ANOMALIES IN CHILDREN - REPORT OF 2 CASES
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DOI：
10.1161/01.cir.64.4.857
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发表时间：
1981-01-01
期刊：
影响因子：
37.8
通讯作者：
MCNAMARA, DG
中科院分区：
文献类型：
--
作者：
GIBSON, R;NIHILL, MR;MCNAMARA, DG
Coronary arterial obstruction associated with congenital aortic valve disease is rare in childhood. Children (2) with aortic valve disease and symptoms of coronary insufficiency were studied. Cineangiography revealed localized obstruction of the proximal left coronary artery. In 1 patient, a membrane-like structure partially covered the left sinus of Valsalva, almost isolating the ostium of the left coronary artery; the other patient had severe stenosis of the proximal left coronary artery and a congenitally hypoplastic left coronary cusp. Surgical repair was successful in both cases. Symptoms of myocardial ischemia in children with aortic valve disease should be investigated promptly to exclude obstruction of the coronary arteries.
