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Isolated ostial left main coronary artery stenosis causing ischemic cardiomyopathy in a child with bicuspid aortic valve: Role of echocardiography in diagnosis and follow-up


1 Department of Pediatrics, Division of Cardiology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA
2 Department of Surgery, Division of Cardiac, Thoracic and Vascular Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA

Correspondence Address:
Dr. Arshid Mir
Department of Pediatric Cardiology, University of Oklahoma Health Sciences Center, 1200 N. Children's Ave., Suite 2F, Oklahoma City, Oklahoma 73104
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.apc_78_21

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Year : 2022  |  Volume : 15  |  Issue : 1  |  Page : 84-86

 

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Bicuspid aortic valve (BAV) is the most common congenital cardiac defect, commonly associated with valve dysfunction and coarctation of aorta. Rarely, BAV can be associated with abnormalities of the coronary arteries, the most common of which are ectopic coronary origins. In this report, we present a case of a 2-year-old child with BAV, without coexisting supravalvular aortic stenosis, who was found to have a left main coronary ostio-proximal stenosis, leading to ischemic cardiomyopathy and congestive heart failure.






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1 Department of Pediatrics, Division of Cardiology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA
2 Department of Surgery, Division of Cardiac, Thoracic and Vascular Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA

Correspondence Address:
Dr. Arshid Mir
Department of Pediatric Cardiology, University of Oklahoma Health Sciences Center, 1200 N. Children's Ave., Suite 2F, Oklahoma City, Oklahoma 73104
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.apc_78_21

Rights and Permissions

Bicuspid aortic valve (BAV) is the most common congenital cardiac defect, commonly associated with valve dysfunction and coarctation of aorta. Rarely, BAV can be associated with abnormalities of the coronary arteries, the most common of which are ectopic coronary origins. In this report, we present a case of a 2-year-old child with BAV, without coexisting supravalvular aortic stenosis, who was found to have a left main coronary ostio-proximal stenosis, leading to ischemic cardiomyopathy and congestive heart failure.






[FULL TEXT] [PDF]*


        
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