Document Detail


Anomalous left coronary artery from the pulmonary artery in a preterm infant: presentation after ligation of ductus arteriosus.
MedLine Citation:
PMID:  19489945     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Surgical or medical closure of a patent ductus arteriosus (PDA) is a very common practice in premature infants in the neonatal intensive care unit, but often the coronary arteries are not delineated prior to closure. In this report, a 32-week gestational age premature infant who underwent surgical ligation of a PDA developed new-onset left ventricular systolic dysfunction. A repeat echocardiogram noted an anomalous left coronary artery from the pulmonary artery. Successful left coronary artery reimplantation with rapid normalization of left ventricular systolic function occurred. As previously not reported, ligation of a PDA in a premature infant can unmask anomalous left coronary artery from the pulmonary artery. Surgical left coronary artery reimplantation is the mainstay of therapy and should be performed to establish normal coronary blood flow, even in a premature, low birth weight infant.
Authors:
Mark A Law; E Dean McKenzie; Timothy C Slesnick; Antonio R Mott
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Congenital heart disease     Volume:  4     ISSN:  1747-0803     ISO Abbreviation:  Congenit Heart Dis     Publication Date:    2009 May-Jun
Date Detail:
Created Date:  2009-06-03     Completed Date:  2009-10-02     Revised Date:  2011-05-05    
Medline Journal Info:
Nlm Unique ID:  101256510     Medline TA:  Congenit Heart Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  174-7     Citation Subset:  IM    
Affiliation:
University of Alabama at Birmingham-Pediatric Cardiology, Birmingham, AL 35249-6852, USA. mlaw@peds.uab.edu
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / surgery*,  ultrasonography
Cardiac Surgical Procedures*
Coronary Vessel Anomalies / complications*,  surgery,  ultrasonography
Ductus Arteriosus, Patent / complications,  surgery*,  ultrasonography
Gestational Age
Humans
Infant, Newborn
Infant, Premature*
Infant, Very Low Birth Weight
Ligation
Male
Pulmonary Artery / abnormalities*,  surgery,  ultrasonography
Replantation
Treatment Outcome
Ventricular Dysfunction, Left / etiology*,  surgery,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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