| Anomalous origin of the left coronary artery from the pulmonary artery in an elderly patient, football player in youth. | |
| | |
MedLine Citation:
|
PMID: 18799973 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Anomalous origin of the left coronary artery from the pulmonary artery is a rare congenital defect. Without surgical treatment, approximately 90% of infants die within the first year of life. Late presentation in the adult or elderly is rare. Factors that may lead to survival in advanced age include the development of intercoronary collaterals. Furthermore, the risk of sudden cardiac death due to ischaemic malignant ventricular dysrhythmias exists even in asymptomatic adult patients and, classically, is precipitated by exercise. We report the case of a 67-year-old man, a football player in his youth, always asymptomatic until presentation at our centre for symptomatic sustained ventricular tachycardia and shortness of breath on exertion. We show the features of the ECG, transthoracic echocardiography, angiography study of the coronary and the pulmonary system, myocardial basal and stress gated single photon emission computed tomography with Tc-tetrofosmin and cardiac CT 64 slices. The patient was referred to cardiac surgery. We believe that this patient's favourable course may be ascribed to the large network of collaterals from the right coronary artery supplying the entire heart. However, the exact reason why these favourable evolutions (both vascular and clinical) occur only in some individuals remains largely unknown. |
| | |
Authors:
|
Antonio Facciorusso; Pompeo Lanna; Carlo Vigna; Raimondo Massaro; Mario Stanislao; Tiberio Santoro; Guido Valle; Carmine Carbone; Gian Paolo Grilli; Raffaele Fanelli |
Related Documents
:
|
1382313 - Salvage of infarcted myocardium by angiogenic action of basic fibroblast growth factor. 21314633 - Current pharmacologic management of pediatric heart failure in congenital heart disease. 1228373 - An improved method for measuring the size of myocardial infarctions. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Journal of cardiovascular medicine (Hagerstown, Md.) Volume: 9 ISSN: 1558-2027 ISO Abbreviation: J Cardiovasc Med (Hagerstown) Publication Date: 2008 Oct |
Date Detail:
|
Created Date: 2008-09-18 Completed Date: 2008-10-30 Revised Date: 2009-05-28 |
Medline Journal Info:
|
Nlm Unique ID: 101259752 Medline TA: J Cardiovasc Med (Hagerstown) Country: United States |
Other Details:
|
Languages: eng Pagination: 1066-9 Citation Subset: IM |
Affiliation:
|
Department of Cardiology, IRCCS 'Casa Sollievo, della Sofferenza', San Giovanni Rotondo (FG), Italy. a.facciorusso@operapadrepio.it |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Collateral Circulation Coronary Angiography Coronary Circulation Coronary Vessel Anomalies / complications, pathology*, physiopathology, surgery Coronary Vessels / pathology*, physiopathology, surgery Dyspnea / etiology, pathology Echocardiography, Doppler, Color Electrocardiography Humans Male Physical Exertion* Pulmonary Artery / pathology*, physiopathology, surgery Soccer* Tachycardia, Ventricular / etiology*, pathology, physiopathology, therapy Tomography, Emission-Computed, Single-Photon Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The conundrum of transient cortical blindness following coronary angiography.
Next Document: Concomitant submassive pulmonary embolism and paradoxical embolic stroke after a long flight: which ...