{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:12:50Z","timestamp":1777878770106,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>We report a case of congenital left main coronary artery stenosis surgically treated at our center in a six-month-old patient using an off-pump coronary artery bypass grafting (CABG) approach. The infant presented with respiratory distress, feeding difficulties, and diaphoresis and was diagnosed with dilated cardiomyopathy with severe left ventricular dysfunction. Diagnostic imaging with computed tomography (CT) angiography and coronary angiography identified severe  stenosis (&gt;90%) of the left main coronary artery with normal right-sided coronary anatomy. A left internal thoracic artery to left anterior descending coronary artery anastomosis was performed using off-pump CABG, a novel intervention in an infant with congenital left main coronary artery stenosis. Postoperative recovery was smooth and three-year follow-up demonstrated normal development with significant improvement in left ventricular function (ejection fraction 55%). To our knowledge, this case represents the first successful application of off-pump CABG in an infant with congenital left main coronary artery stenosis, marking a pioneering step in pediatric cardiac surgery.<\/jats:p>","DOI":"10.1177\/21501351251330841","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T11:49:20Z","timestamp":1752061760000},"page":"853-855","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Off-Pump Coronary Artery Bypass Grafting for Congenital Left Main Coronary Artery Stenosis in a Six-Month-Old Infant: A Novel Approach"],"prefix":"10.1177","volume":"16","author":[{"given":"Manoj Kumar","family":"Daga","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, BM Birla Heart Research Centre, Kolkata, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9700-298X","authenticated-orcid":false,"given":"Nitish","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, BM Birla Heart Research Centre, Kolkata, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Subhendu","family":"Mandal","sequence":"additional","affiliation":[{"name":"Department of Paediatric Cardiology, BM Birla Heart Hospital, Kolkata, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaur Hari","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, BM Birla Heart Research Centre, Kolkata, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pravir Kumar","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Cardiac Anaesthesia, BM Birla Heart Research Centre, Kolkata, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anurag","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, BM Birla Heart Research Centre, Kolkata, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madhurima","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Department of Paediatric Cardiology, BM Birla Heart Hospital, Kolkata, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.12044"},{"issue":"11","key":"e_1_3_2_3_2","article-title":"Dilated cardiomyopathy in children: early detection and treatment","volume":"14","author":"Mallavarapu A","year":"2022","unstructured":"Mallavarapu A, Taksande A. Dilated cardiomyopathy in children: early detection and treatment. Cureus. 2022; 14( 11): e31111. doi: https:\/\/doi.org\/10.7759\/cureus.31111","journal-title":"Cureus"},{"issue":"11","key":"e_1_3_2_4_2","first-page":"35","article-title":"The diagnostically significant indices of the corrected axial ECG system in the differentiation of ischemic heart disease and dilated cardiomyopathy","volume":"33","author":"Gadzhaeva FU","year":"1993","unstructured":"Gadzhaeva FU, Dorofeeva ZZ, Alekperov II, et al. The diagnostically significant indices of the corrected axial ECG system in the differentiation of ischemic heart disease and dilated cardiomyopathy. 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