Cardiology in the Young

Images in Congenital Cardiac Disease

Left coronary artery stenosis with post-stenotic aneurysm after arterial switch operation before and after coronary revascularisation surgery

Davide Marinia1 c1, Claudio Defilippia2 and Gabriella Agnolettia1

a1 Department of Cardiology, Ospedale Infantile Regina Margherita, Turin, Italy

a2 Department of Radiology, Ospedale Infantile Regina Margherita, Turin, Italy

Abstract

We report the case of a child with severe and atypical stenosis of the left main coronary artery, which occurred late after arterial switch operation for transposition of the great arteries. Cardiac computed tomography accurately defined the lesion, showing the presence of post-stenotic dilation, guided the surgical approach and assessed coronary patency after revascularisation surgery.

(Received January 29 2011)

(Accepted February 18 2011)

(Online publication April 19 2011)

Correspondence:

c1 Correspondence to: D. Marini, MD, Paediatric Cardiology, Ospedale Infantile Regina Margherita, Piazza Polonia 94, 10124, Turin, Italy. Tel: 0039 011 313 1556; Fax: 0039 011 313 5482; E-mail: davide.marini@oirmasantanna.piemonte.it

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