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

Abstract

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.

Keywords

• Coronary artery atresia
• Coronary fistula
• Coronary revascularization
• Fistula embolization