Abstract
Aortic atresia is the most severe variant of hypoplastic left heart syndrome (HLHS), and has been associated with significant mortality after stage I palliation. Coronary artery abnormalities are more prominent in this group of patients, especially in the presence of a patent mitral valve. Herein, we describe a case of isolated left ventricular ischemia after the Norwood procedure in a neonate with hypoplastic left heart syndrome, left ventricular hypertrophy, mitral stenosis, aortic atresia, and anomalous left coronary artery.
MeSH terms
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Coronary Vessel Anomalies / pathology
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Coronary Vessel Anomalies / surgery*
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Coronary Vessels / pathology
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Fatal Outcome
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Fontan Procedure*
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Heart Septum / pathology
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Humans
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Hypertrophy, Left Ventricular / pathology
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Hypertrophy, Left Ventricular / surgery*
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Hypoplastic Left Heart Syndrome / pathology
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Hypoplastic Left Heart Syndrome / surgery*
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Infant, Newborn
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Infant, Premature, Diseases / pathology
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Infant, Premature, Diseases / surgery*
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Male
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Myocardial Ischemia / pathology
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Myocardial Ischemia / surgery*
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Palliative Care*
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Postoperative Complications / diagnosis
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Postoperative Complications / surgery*
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Pulmonary Atresia / pathology
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Pulmonary Atresia / surgery*
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Reoperation