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Pre-operative identification of an anomalous left coronary artery from the pulmonary artery in association with tetralogy of Fallot and an aortopulmonary window

Published online by Cambridge University Press:  05 March 2013

Colin J. McMahon ,
Terence Prendiville  and
Lars Nolke
Colin J. McMahon*
Affiliation:
Department of Paediatric Cardiology, Our Lady's Hospital for Sick Children, Crumlin, Dublin, Ireland
Terence Prendiville
Affiliation:
Department of Paediatric Cardiology, Our Lady's Hospital for Sick Children, Crumlin, Dublin, Ireland
Lars Nolke
Affiliation:
Department of Congenital Heart Surgery, Our Lady's Hospital for Sick Children, Crumlin, Dublin, Ireland
*
Correspondence to: Dr C. J. McMahon, FRCPI, Department of Paediatric Cardiology, Our Lady's Hospital for Sick Children, Crumlin, Dublin 12, Ireland. Tel: 011353-14096160; Fax: 0113531-4096181; E-mail: colin.mcmahon@olhsc.ie
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Abstract

A newborn baby girl was diagnosed with tetralogy of Fallot and an aortopulmonary window. At 3 weeks of age, the coexistent diagnosis of an anomalous left coronary artery from the pulmonary artery was made. Initial surgical intervention included a Takeuchi baffle of the left coronary artery, closure of the aortopulmonary window, and placement of a right Blalock–Taussig shunt. Complete repair was undertaken at 12 months of age. Close pre-operative assessment of the coronary arterial anomaly is crucial in patients with an aortopulmonary window and tetralogy of Fallot.

Keywords

Aortopulmonary windowanomalous left coronary arterytetralogy of Fallot
Type
Brief Reports
Information
Cardiology in the Young , Volume 24 , Issue 1 , February 2014 , pp. 170 - 171
Copyright
Copyright © Cambridge University Press 2013 

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References

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