| Anomalous left coronary artery from the pulmonary artery in a preterm infant: presentation after ligation of ductus arteriosus. | |
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MedLine Citation:
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PMID: 19489945 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Mark A Law; E Dean McKenzie; Timothy C Slesnick; Antonio R Mott |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Congenital heart disease Volume: 4 ISSN: 1747-0803 ISO Abbreviation: Congenit Heart Dis Publication Date: 2009 May-Jun |
Date Detail:
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Created Date: 2009-06-03 Completed Date: 2009-10-02 Revised Date: 2011-05-05 |
Medline Journal Info:
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Nlm Unique ID: 101256510 Medline TA: Congenit Heart Dis Country: United States |
Other Details:
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Languages: eng Pagination: 174-7 Citation Subset: IM |
Affiliation:
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University of Alabama at Birmingham-Pediatric Cardiology, Birmingham, AL 35249-6852, USA. mlaw@peds.uab.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abnormalities, Multiple
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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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