Coronary steal syndrome after coronary artery bypass for anomalous aortic

Authors

Benjamin A. Youdelman, Thomas Jefferson UniversityFollow
Glenn J. Pelletier, Department of Cardiothoracic Surgery, Drexel University College of MedicineFollow
C. Igor Mesia, Department of Pediatric Cardiology, Drexel University College of MedicineFollow
Marshall L. Jacobs, Department of Cardiothoracic Surgery, Drexel University College of Medicine

Document Type

Article

Publication Date

April 2008

Comments

This article has been accepted for publication by the Annals of Thoracic Surgery

Abstract

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

Recommended Citation

Youdelman, Benjamin A.; Pelletier, Glenn J.; Mesia, C. Igor; and Jacobs, Marshall L., "Coronary steal syndrome after coronary artery bypass for anomalous aortic" (2008). Department of Surgery Faculty Papers. Paper 14.
https://jdc.jefferson.edu/surgeryfp/14