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Congenital Coronary Aneurysm: Unusual Presentation of Myocardial Ischemia in Children.


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Congenital Coronary Aneurysm: Unusual Presentation of Myocardial Ischemia in Children.

World J Pediatr Congenit Heart Surg. 2021 Jan;12(1):133-135

Authors: Simry W, Al Kindi H, Sedky Y, Kaml H, Romaih S, Van Doorn C

Abstract
Coronary artery aneurysms in children are usually associated with inflammatory disease such as Kawasaki disease or connective tissue disease. Congenital coronary aneurysm is a rare entity with few case reports published in the literature. We report an unusual case of congenital coronary aneurysm in an 11-year-old boy presented to our center with an ischemic cardiac event. Further investigations including computed tomography scan, cardiac magnetic resonance imaging, and coronary angiography revealed a large aneurysm arising from the proximal segment of left anterior descending (LAD) artery. Surgical repair was done including aneurysm resection and roofing the LAD artery using autologous saphenous vein patch.

PMID: 31023146 [PubMed – indexed for MEDLINE]

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