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Ann Thorac Surg 1999;68:1069-1071
© 1999 The Society of Thoracic Surgeons


Case Reports

Effect of CABG on coronary flow reserve in atresia of the left coronary ostium

Kenji Hamaoka, MDa, Kentaro Toiyama, MDa, Hisashi Satoh, MDa, Zenshiro Onouchi, MDa, Kazuhiro Kitaura, MDb

a Division of Pediatrics, Children’s Research Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan
b Second Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan

Address reprint requests to Dr Hamaoka, Division of Pediatrics, Children’s Research Hospital, Kyoto Prefectural University of Medicine, 465 Kajiicho, Kamikyou-ku, Kyoto 602-8566, Japan
e-mail: khamaoka{at}koto.kpu-m.ac.jp

We evaluated the change of coronary flow reserve using a Doppler guidewire before and after coronary artery bypass grafting to assess the coronary hemodynamic effect of surgical revascularization in a 13-year-old boy with congenital atresia of the left coronary ostium, which is one of the rarest of the congenital coronary anomalies. Coronary flow reserve in the right coronary artery and left anterior descending artery increased significantly after coronary revascularization, and a microvascular bed developed in the left anterior descending artery.







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Copyright © 1999 by The Society of Thoracic Surgeons.