Document Detail

Anomalous origin of the left coronary artery from the pulmonary artery. Surgical treatment by ostial occlusion through pulmonary arteriotomy.
MedLine Citation:
PMID:  11712279     Owner:  NLM     Status:  MEDLINE    
Two cases of anomalous origin of the left coronary artery from the pulmonary artery are reported in asymptomatic patients 15 and 27 years of age, bringing to 30 the total number of cases of this anomaly reported in the postinfantile age group. ECG exercise tests demonstrated marked ischemic changes in both patients, but angina or abnormal shortness of breath did not develop in either patient during or after exercise. The anomalous vessel was interrupted by closure of its ostium through a pulmonary arteriotomy during cardiopulmonary bypass, a procedure felt to offer a distinct technical advantage in the surgical treatment of this condition. Following ligation of the anomalous vessel, ECG exercise tests no longer showed definitive evidence of myocardial ischemia. This is interpreted as evidence that ligation should reduce the incidence of exercise-induced sudden deaths in this anomaly.
M D Flamm; E B Stinson; H N Hultgren; N E Shumway; E W Hancock
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Circulation     Volume:  38     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1968 Jul 
Date Detail:
Created Date:  2001-11-19     Completed Date:  2001-12-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  United States    
Other Details:
Languages:  eng     Pagination:  113-23     Citation Subset:  AIM; IM    
Departments of Medicine and Surgery, Stanford University School of Medicine, Palo Alto-Stanford Hospital, Palo Alto, California, USA.
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MeSH Terms
Cardiac Surgical Procedures
Coronary Angiography
Coronary Vessel Anomalies / surgery*
Death, Sudden / prevention & control
Exercise Test
Myocardial Ischemia / diagnosis,  prevention & control
Pulmonary Artery / abnormalities*,  surgery*

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

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