Archives of cardiovascular diseases
-
Arch Cardiovasc Dis · Apr 2013
Case ReportsEarly neonatal death and congenital left coronary abnormalities: ostial atresia, stenosis and anomalous aortic origin.
Congenital left coronary artery abnormalities such as ostial stenosis or atresia are extremely rare. Diagnosis in the neonate has not been reported. ⋯ Congenital coronary ostial abnormalities can lead to severe heart failure and unexpected neonatal death. Systematic examination of the coronary arteries should be part of any neonatal autopsy. Coronary angiography remains the diagnostic method of choice despite advances in non-invasive imaging. Revascularization surgery seems indicated in symptomatic children based on small patient series.