Imaging Characteristics of Anomalous Left Coronary Artery From the Pulmonary Artery (original) (raw)
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Archivos argentinos de pediatria, 2018
Isolated anomalous origin of the right coronary artery from the main pulmonary artery is a rare congenital anomaly, and few cases have been reported in the pediatric age group. Here in, we report an asymptomatic case of a 2-month-old male infant who has been diagnosed as anomalous origin of the right coronary artery from the main pulmonary artery during the evaluation for cardiac abnormalities. For a suspicion on echocardiography, cardiac catheterization and coronary angiography performed to verify the diagnosis of anomalous origin of the right coronary artery from the main pulmonary artery. The patient underwent surgery and did well after two months follow up. Early diagnosis may prevent patients from cardiovascular complications.
Anomalous left coronary artery arising from the pulmonary artery (adult type)
American Heart Journal, 1950
, 21 consecutive infants aged less than six months (mean (SD) 2-6 (1 2)) were admitted with anomalous origin of the left coronary artery from the pulmonary artery. In the first 12 patients, who were seen up to 1982, operation was performed after the age of one year (mean (SD) 29 (29) months) (group 1). The next nine infants, seen from 1983 to 1987, had their operations within a few weeks of the onset of symptoms (mean (SD) age 4-8 (1 4) months) (group 2). In group 2 the left coronary artery was relocated into the aorta, whereas in group 1 there was additional resection of the left ventricular wall or mitral valvoplasty or both. At presentation there were no differences in age, clinical condition, heart enlargement, and echocardiographic left ventricular dysfunction between groups 1 and 2. Seven of the 12 patients in group 1 died, five while they were awaiting operation (three died suddenly at home) and two at operation. The five survivors are doing well 6-4 (3-1) years after operation with normal left ventricular function which improved slowly over several months after operation. Two of the nine patients in group 2 died; both deaths occurred at or soon after operation. The seven survivors are doing well 1 8 (0 9) years after operation. In three, left ventricular function recovered within three weeks; and there was even partial or total regression of the Q waves in the supposedly necrotic areas. In the remaining four the pattern of improvement in left ventricular function resembled that in group 1. Operation should be undertaken early in infants with anomalous left coronary artery arising from the pulmonary artery because the procedure is relatively safe, prevents a high natural mortality, and offers a better chance of a faster recovery of left ventricular function.
Texas Heart Institute Journal, 2014
Anomalous coronary arteries are rare in the general population. We report the case of a term neonate who underwent an echocardiogram to evaluate a possible patent ductus arteriosus. Unexpectedly, an apparent anomalous origin of the right coronary artery from the main pulmonary artery was detected by surface 2-dimensional transthoracic echocardiography and color-flow Doppler imaging. Because ventricular size and function were normal, the patient ultimately underwent cardiac catheterization to verify the anatomy before proposed surgery. Angiograms showed that the right coronary artery arose from the left anterolateral portion of the mid-ascending aorta. The patient did not require surgery. This case report illustrates pitfalls that can occur in the diagnosis of coronary artery anomalies.
Circulation, 1964
RECENT reports have indicated that anomalous coronary arteries originating from the pulmonary artery may act as a channel for left-to-right shunt. 1-4 Thus a large portion of the coronary blood flow may bypass the coronary capillary bed, pass through arterial anastomoses, and enter directly into the pulmonary artery by retrograde flow through the anomalous coronary with resultant myocardial ischemia. In infants suspected of having this anomaly, early death has been ascribed to this mechanism. This has resulted in a strong plea for early ligation of the aberrant coronary artery in an attempt to redistribute the coronary flow throughout the entire capillary bed.' The observation of successful ligation of the aberrant vessel in one case, with prolonged postoperative follow-up, and of sudden death after the same procedure in another, has led to a revised evaluation of this problem and has prompted this report. Case Reports Case 1 AJ., a 5-week-old boy, was the product of a full-term uncomplicated pregnancy and normal delivery. There was no family history of heart disease. The patient's birth weight was 6 pounds 9 ounces and he apparently did well until 12
Journal of Health, Medicine and Nursing, 2018
Anomalous origin of the left coronary artery from the pulmonary artery is a rare congenital heart anomaly that account for up to 0.5% of all congenital heart disease. Usually, infants' patients may present with failure to thrive, feeding difficulties, sweating, irritability or sudden cardiac death. However, they may be asymptomatic. This syndrome has a high mortality rate if left untreated during infancy period. Echocardiography and electrocardiography are helpful in detecting and establishing the diagnosis of Anomalous origin of the left coronary artery from the pulmonary artery for infants. Surgical repair to restore normal anatomical position of coronary system is the definitive intervention. Early detection and surgical intervention has significant positive impact on survival rate. This paper presents a case of a four months old girl, who presented with heart failure, dilated cardiomyopathy and mitral regurgitation and thereafter was diagnosed with Anomalous origin of the le...