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Ann Thorac Surg 2005;79:2153-2155
© 2005 The Society of Thoracic Surgeons
a Department of Pediatric Cardiac Surgery, Green Lane Hospital, Auckland, New Zealand
b Department of Pediatric Cardiology, Green Lane Hospital, Auckland, New Zealand
Accepted for publication December 2, 2003.
* Address reprint requests to Dr Solomon, Department of Cardiothoracic Surgery, Green Lane Hospital, Auckland, New Zealand (E-mail: nev_sheeba{at}yahoo.com).
A premature infant with a large patent ductus arteriosus and mild supravalvular aortic stenosis had evidenceof severe myocardial ischemia after ductus ligation. Urgent reoperation was required to relieve severe obstruction of the left coronary orifice and the supravalvular stenosis was repaired. This unusual presentation early in infancy emphasizes that left coronary artery obstruction should be suspected even in the presence of mild supravalvular stenosis.
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