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An unusual anomalous course of a coronary artery from the pulmonary trunk, coexisting with congenital mitral stenosis and aortic coarctation

Published online by Cambridge University Press:  19 August 2008

Siew Yen Ho*
Affiliation:
Pediatrics, National Heart & Lung Institute, Imperial College School of Medicine, Dovehouse Street, London
Michael A. Gatzoulis
Affiliation:
Pediatrics, National Heart & Lung Institute, Imperial College School of Medicine, Dovehouse Street, London
Mary Sheppard
Affiliation:
Department of Histopathology, Royal Brompton Hospital, Sydney Street, London
*
Dr S Y Ho, Pediatrics, National Heart & Lung Institute, Imperial College School of Medicine, Dovehouse Street, London SW3 6LY. Tel: 0171 351 8752; Fax: 0171 351 8230

Abstract

Anomalous origin of a coronary artery is occasionally associated with other congenital heart malformations. Presence of the anomalous artery can then complicate surgical repair. We report an unusually complex arrangement in a patient who died 16 hours following complete surgical repair despite appropriate management.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1998

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References

1.Ogden, JA.Congenital anomalies of the coronary arteries. Am J Cardiol, 1970; 25: 474479.CrossRefGoogle ScholarPubMed
2.Becker, AE. Variations of the main coronary arteries. In: Paediatric Cardiology Volume 3. Becker, AE, Losekoot, G, Marcelletti, C, Anderson, RH (eds). Churchill Livingstone, Edinburgh, 1981. pp263277Google Scholar
3.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: 787801.CrossRefGoogle Scholar
4.Fernandes, ED, Kadivar, H, Hallman, GL, Reul, GJ, Ott, DA, Cooley, DA.Congenital malformations of the coronary arteries: the Texas Heart Institute experience. Ann Thorac Surg 1992; 54: 732740.CrossRefGoogle ScholarPubMed
5.Rein, AJJ, Colan, SD, Parness, IA, Sanders, SP.Regional and global left ventricular function in infants with anomalous origin of the left coronary artery from the pulmonary trunk: preoperative and postoperative assessment. Circulation 1987; 75: 115123.CrossRefGoogle ScholarPubMed
6.Sabiston, DC Jr, Neill, CA, Taussig, HB.The direction of flow in anomalous left coronary artery arising from the pulmonary artery. Circulation 1960; 22: 591597.CrossRefGoogle ScholarPubMed
7.Bharati, S, Chandra, N, Stephenson, LW, Wagner, HR, Weinberg, PM, Lev, M.Origin of the left coronary artery from the right pulmonary artery. JACC 1984; 3: 15651569.CrossRefGoogle ScholarPubMed
8.Tawes, RL, Berry, CL, Aberdeen, E, Graham, GR.Myocardial ischaemia in infants. Ann Thorac Surg 1969; 8: 383390.CrossRefGoogle ScholarPubMed
9.Vladover, Z, Neufeld, HN.Coronary arteries in coarctarion of the aorta. Circulation 1968: 37: 449454.CrossRefGoogle Scholar
10.Schneeweiss, A, Sherf, L, Lehrer, E, Lieberman, Y, Neufeld, HN.Segmental study of the terminal coronary vessels in coarctation of the aorta: a natural model for study of the effect of coronary hypertension on human coronary circulation. Am J Cardiol 1982; 49: 19962002.CrossRefGoogle ScholarPubMed