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  • Title: Complete atresia of coronary ostia in pulmonary atresia and intact ventricular septum.
    Author: Selamet SE, Hsu DT, Thaker HM, Gersony WM.
    Journal: Pediatr Cardiol; 2004; 25(1):67-9. PubMed ID: 12947508.
    Abstract:
    We describe the clinical course, echocardiography, angiography, and histopathology of a female infant with pulmonary atresia and intact ventricular septum (PA/IVS) with complete coronary ostial atresia and right ventricle-dependent coronary circulation who survived for 7 weeks after palliative surgery. The patient expired from myocardial insufficiency while waiting for a donor heart. Postmortem examination demonstrated atretic coronary ostia, ventricular sinusoids, and myocardial infarctions of various ages. This report suggests that neonates with PA/IVS who have this extreme form of coronary abnormality may potentially be managed medically and surgically until cardiac transplantation is available.
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