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Anomalous left coronary artery from the pulmonary artery discovered following total anomalous pulmonary venous return repair: a rare entity

Published online by Cambridge University Press:  30 August 2016

Neil D. Patel ,
Sarah Badran  and
Grace Kung
Neil D. Patel*
Affiliation:
Divison of Pediatric Cardiology, Children’s Hospital Los Angeles, Los Angeles, California, United States of America
Sarah Badran
Affiliation:
Divison of Pediatric Cardiology, Children’s Hospital Los Angeles, Los Angeles, California, United States of America
Grace Kung
Affiliation:
Divison of Pediatric Cardiology, Children’s Hospital Los Angeles, Los Angeles, California, United States of America
*
Correspondence to: N. D. Patel, MD, Division of Pediatric Cardiology, Children’s Hospital Los Angeles, 4650 Sunset Blvd, Mailstop #34, Los Angeles, CA 90027, United States of America. Tel: 323 361 8308; Fax: 322 361 1513; E-mail: neipatel@chla.usc.edu
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Abstract

We describe a case of anomalous left coronary artery from the pulmonary artery in association with total anomalous pulmonary venous return. The infant was diagnosed with total anomalous pulmonary venous return at 6 weeks of age and underwent successful surgical repair. On routine follow-up, he was found to have an anomalous left coronary artery from the pulmonary artery without evidence of mitral regurgitation or left ventricular dysfunction. The presence of the left-to-right shunt and secondary elevation in pulmonary artery pressures likely masked the usual findings associated with this coronary anomaly.

Keywords

Anomalous left coronary artery from the pulmonary arterytotal anomalous pulmonary venous returnechocardiography

Information

Type
Brief Report
Information
Cardiology in the Young , Volume 27 , Issue 2 , March 2017 , pp. 385 - 387
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Copyright
© Cambridge University Press 2016 

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References

1. Awasthy, N, Marwah, A, Sharma, R, Dalvi, B. Anomalous origin of the left coronary artery from the pulmonary artery with patent ductus arteriosus: a must to recognize entity. Eur J Echocardiogr 2010; 11: E31.Google Scholar
2. Awasthy, N, Marwah, A, Sharma, R. Occult anomalous origin of the left coronary artery from the pulmonary artery with ventricular septal defect. Ann Pediatr Cardiol 2011; 4: 62–64.Google Scholar
3. Pinsky, WW, Gillette, PC, Duff, DF, et al. Anomalous origin of left coronary artery from the pulmonary artery with ventricular septal defect. Circulation 1978; 57: 1026–1030.Google Scholar
4. Callaghan, MA, O’Hare, B, Casey, W. What other anomalies? Failure to wean post ventricular septal defect repair secondary to anomalous origin of the left coronary artery from the pulmonary artery. Paediatr Anaesth 2012; 22: 487–489.Google Scholar
5. Ortiz, E, de Leval, M, Somerville, J. Ductus arteriosus associated with an anomalous left coronary artery arising from the pulmonary artery: catastrophe after duct ligation. Br Heart J 1986; 55: 415–417.CrossRefGoogle ScholarPubMed
6. Laux, D, Bertail, C, Bajolle, F, Houyel, L, Boudjemline, Y, Bonnet, D. Anomalous left coronary artery connected to the pulmonary artery associated with other cardiac defects: a difficult joint diagnosis. Pediatr Cardiol 2014; 35: 1198–1205.Google Scholar
7. Lim, SD, Matherne, PG. Congenital anomalies of the coronary vessels and the aortic root. In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF, (eds) Moss and Adams Heart Disease in Infants, Children, and Adolescents: Including the Fetus and Young Adult. Lippincott Williams & Wilkins, Philadelphia, PA, 2013: 749–752.Google Scholar
8. Shetty, RS, Thareen, JK, Ramaiah, AK, Narayan, R, Das, JK, Chandrashekariah, MM. Anomalous origin of single coronary artery from pulmonary artery: serendipitous diagnosis and successful surgical treatment. World J Pediatr Congenit Heart Surg 2015; 6: 108–110.CrossRefGoogle ScholarPubMed
9. Bland, EF, White, PD, Garland, J. Congenital anomalies of the coronary arteries: report of an unusual case associated with cardiac hypertrophy. Am Heart J 1933; 8: 787–801.CrossRefGoogle Scholar