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Ann Thorac Surg 1995;60:462-463
© 1995 The Society of Thoracic Surgeons

Case Reports

Organized Thrombus in Left Main Coronary Artery in Hypoplastic Left Heart Syndrome

Jacques A. M. van Son, MD, PhD, Michael D. Black, MD, Kim Devoe, MD, Gary S. Haas, MD

Divisions of Cardiothoracic Surgery and Anatomic Pathology, University of California, San Francisco, San Francisco, California

Accepted for publication January 30, 1995.

A neonate is reported in whom, during Norwood stage I correction for hypoplastic left heart syndrome with mitral stenosis, an organized thrombus was found to protrude from the left coronary ostium into the aortic root. With ventricular assist device support the patient survived despite severe left ventricular ischemia. The presumed origin of the thrombus is from left ventriculocoronary arterial connections that serve to decompress the blind left ventricular cavity.




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