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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*
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: [email protected]

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.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2013 

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References

1. Morell, VO, Feccia, M, Cullen, S, Elliott, MJ. Anomalous coronary artery with tetralogy of Fallot and aortopulmonary window. Ann Thorac Surg 1998; 66: 14031405.CrossRefGoogle ScholarPubMed
2. McMahon, CJ, DiBardino, DJ, Undar, A, Fraser, CD Jr. Anomalous origin of left coronary artery from the right pulmonary artery in association with type III aortopulmonary window and interrupted aortic arch. Ann Thorac Surg 2002; 74: 919921.CrossRefGoogle ScholarPubMed
3. Corno, A, Pierli, C, Lisi, G, Biagioli, B, Grossi, A. Anomalous origin of the left coronary artery from an aortopulmonary window. J Thorac Cardiovasc Surg 1988; 96: 669671.CrossRefGoogle ScholarPubMed
4. Bourlon, F, Kreitmann, P, Jourdan, J, Grinneiser, D, Schmitt, R, Dor, V. Anomalous origin of left coronary artery with aortopulmonary window – a case report with surgical correction and delayed control. Thorac Cardiovasc Surg 1981; 29: 9192.CrossRefGoogle ScholarPubMed