Vol. 27 No. 1 (2023)
CASE REPORTS

Coronary artery and congenital heart diseases in adult patients: a case series

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  • V.P. Podzolkov,
  • A.V. Minaev,
  • M.R. Chiaureli,
  • V.N. Cheban,
  • E.P. Golubev,
  • K.V. Petrosyan,
  • A.V. Sobolev,
  • I.V. Zemlyanskaya
V.P. Podzolkov
A.N. Bakulev National Medical Research Center of Cardiovascular Surgery
A.V. Minaev
A.N. Bakulev National Medical Research Center of Cardiovascular Surgery
Bio
M.R. Chiaureli
A.N. Bakulev National Medical Research Center of Cardiovascular Surgery
V.N. Cheban
A.N. Bakulev National Medical Research Center of Cardiovascular Surgery
E.P. Golubev
A.N. Bakulev National Medical Research Center of Cardiovascular Surgery
K.V. Petrosyan
A.N. Bakulev National Medical Research Center of Cardiovascular Surgery
A.V. Sobolev
A.N. Bakulev National Medical Research Center of Cardiovascular Surgery
I.V. Zemlyanskaya
A.N. Bakulev National Medical Research Center of Cardiovascular Surgery
Coronary artery and congenital heart diseases correction
DOI: https://doi.org/10.21688/1681-3472-2023-1-60-66

Published 2023-03-30

Keywords

  • Adult,
  • Case Report,
  • Coronary Artery Disease,
  • Heart Defects, Congenital,
  • Heart Septal Defects, Atrial

How to Cite

Podzolkov, V., Minaev, A., Chiaureli, M., Cheban, V., Golubev, E., Petrosyan, K., Sobolev, A., & Zemlyanskaya, I. (2023). Coronary artery and congenital heart diseases in adult patients: a case series. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 27(1), 60–66. https://doi.org/10.21688/1681-3472-2023-1-60-66

Copyright (c) 2023 Podzolkov V.P., Minaev A.V., Chiaureli M.R., Cheban V.N., Golubev E.P., Petrosyan K.V., Sobolev A.V., Zemlyanskaya I.V.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Background: The relevance of coronary artery disease treatment in congenital heart disease is related to the increasing number of older patients with congenital conditions, predisposing factors and continuous silent ischemia.
Objective: To analyze clinical data and results of surgery in patients with a combination of congenital heart disease and hemodynamically significant coronary artery lesions.
Methods: 17 patients (7 women (41.2%), 10 men (58.8%)) were included in the study. All of them underwent myocardial revascularization and congenital heart disease corrective surgery from 2003 to 2020. The mean age at the time of surgery was 57.2 years. The congenital diagnosis was an atrial septal defect (14 patients), partial anomalous pulmonary vein connection (1 patient), recanalization of atrial septal defect (1 patient), recanalization of ventricular septal defect (1 patient). In 7 cases congenital and coronary pathology correction were performed percutaneously — coronary stenting as the first stage, defect closure at an interval of 4 to 10 days as the second. One patient underwent stenting 7 months prior to an open-heart surgery. In 9 cases one-staged open-heart surgery was performed simultaneously.
Results: At the hospital 1 patient died after surgery due to multiple organ dysfunction syndrome. In all other cases there were no symptoms of ischemia on discharge, the patients were in NYHA class I–II (New York Heart Association).
Conclusion: The tactics of coronary revascularization is determined by the necessity of percutaneous or open-heart intervention. Myocardial revascularization may be preferable as the first stage, or a one-stage correction may be performed and proved by good results.

Received 14 October 2022. Revised 25 November 2022. Accepted 27 November 2022.

Informed consent: The patient’s informed consent to use the records for medical purposes is obtained.

Funding: The study did not have sponsorship.

Conflict of interest: The authors declare no conflict of interest.

Contribution of the authors
Literature review: A.V. Minaev
Drafting the article: A.V. Minaev, A.V. Sobolev, I.V. Zemlyanskaya
Critical revision of the article: V.P. Podzolkov
Surgical treatment: M.R. Chiaureli, V.N. Cheban, E.P. Golubev, K.V. Petrosyan
Final approval of the version to be published: V.P. Podzolkov, A.V. Minaev, M.R. Chiaureli, V.N. Cheban, E.P. Golubev, K.V. Petrosyan, A.V. Sobolev, I.V. Zemlyanskaya

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