Zhong Xiaoying*, Xu Jianxin, Chen Yong and Zhan Yi
Jinhua Maternal and Child Health Care Hospital, ChinaFulltext PDF
Objective: To investigate the diagnosis and treatment of anomalous origin of left coronary artery from the right sinus in children. Methods: Retrospectively analyzing a case of coronary artery abnormalities origin with cardiogenic shock and acute heart failure in a short time and died for pneumonia. Review the literature on anomalous aortic origin of a coronary artery. Results: A child, male, 9 years old, syncope after exercise, coronary angiography showed that left coronary artery originated from the right sinus and the stenosis of the left main stem, treat with extracorporeal membrane oxygenation and surgery, but died for pneumonia. Conclusion: The children with anomalous origin of left coronary artery from the right sinus and abnormal path had the possibility of sudden changes and adverse consequences. Vigorous exercise should be avoided. The early application of extracorporeal membrane oxygenation plays an important role in protecting heart and extending the surgery time of the children, and early surgery is a radical cure method.
Coronary vessel anomalies; Extracorporeal membrane oxygenation and surgery; Fulminant myocarditis
Zhong X, Xu J, Chen Y, Zhan Y. A Case Report: A Child's Left Coronary Artery Abnormality Originating from the Right Coronary Sinus with Intramural Walk and Surgical Treatment Under Extracorporeal Membrane Oxygenation. Clin Case Rep Int. 2021; 5: 1234.