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Coronary arterial compression treated by stenting after replacement of the mitral valve in a child

Published online by Cambridge University Press:  24 May 2005

Mervat A. Assaqqat ,
Walid Hassan  and
Ghassan Siblini
Mervat A. Assaqqat
Affiliation:
Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
Walid Hassan
Affiliation:
Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
Ghassan Siblini
Affiliation:
Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
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Abstract

We describe the clinical history of a nine years old girl with Shone's syndrome. She underwent balloon angioplasty of the aortic coarctation in infancy, and later developed severe sub-aortic stenosis and moderate mitral valvar stenosis. The mitral valve was therefore replaced with a mechanical prosthesis, and the sub-aortic shelf was resected. Immediately after the operation, she developed signs of myocardial ischemia. Coronary angiography showed compression of the middle part of the circumflex artery by the mechanical prosthesis, the obstructed segment being successfully dilated using a coronary arterial stent.

Keywords

Myocardial infarctionmitral valvar prosthesismitral valvar disease
Type
Brief Report
Information
Cardiology in the Young , Volume 13 , Issue 5 , October 2003 , pp. 475 - 478
Copyright
© 2003 Cambridge University Press

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