Occlusion of the left main coronary artery os by a tethered aortic valve cusp
Jonathan H Soslow1, Daniel L Saurers1, Debra A Dodd1
1Division of Pediatric Cardiology, Vanderbilt University Medical Center, Nashville, Tennessee.
Abstract:
We report a 4-month-old girl who presented with poor ventricular function and was found to have occlusion of the left main coronary artery os by a tethered aortic cusp. The patient underwent surgical delamination of the aortic valve leaflet, revealing a normal left coronary os. After operative repair, her left ventricular function improved significantly. This diagnosis should be included in the differential in all children presenting with cardiac dysfunction.
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