Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-23T04:49:23.499Z Has data issue: false hasContentIssue false

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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