Coronary steal phenomenon following right ventricle decompression and revascularization of atretic left coronary ostium: case report.

ABSTRACT:

Background

Coronary steal phenomenon and myocardial ischemia is a complication following decompression of a hypertensive right ventricle in patients with left coronary-cameral fistulae.

Case presentation

We present a 12-year-old girl with a complex heart defect successfully operated on using a hybrid surgical-interventional approach to decompress the ventricle, embolize the fistula and reconstruct the atretic left coronary ostium.

Conclusions

A novel hybrid strategy is the best solution for coronary-cameral fistulas reliant on high ventricular pressure at high risk for coronary steal phenomenon.

SUBMITTER: Pajak J 

PROVIDER: S-EPMC8513314 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature