Coronary Steal Syndrome After Coronary Artery Bypass for Anomalous Aortic Origin of a Coronary Artery

Benjamin A. Youdelman, Glenn J. Pelletier, C. Igor Mesia, Marshall L. Jacobs

Research output: Contribution to journalArticle

Abstract

Anomalous aortic origin of a coronary artery found in a symptomatic 9-year-old boy was initially treated with coronary artery bypass grafting using a left internal mammary artery anastomoses to the left anterior descending coronary artery, but resulted in coronary ischemia, likely from a steal phenomenon. Subsequent transection of the proximal left internal mammary artery with anastomosis to the ascending aorta, and coronary ostial enlargement, resulted in a durable treatment. We recommend caution in choosing coronary artery bypass grafting using a left internal mammary artery pedicle graft for the treatment of anomalous aortic origin of a coronary artery.

Original languageEnglish (US)
Pages (from-to)1292-1295
Number of pages4
JournalAnnals of Thoracic Surgery
Volume87
Issue number4
DOIs
StatePublished - Apr 1 2009
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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