Document Detail

Anomalous origin of the left coronary artery from the right pulmonary artery presenting following relief of left heart obstruction: a distinct and predictable clinico-pathological syndrome.
MedLine Citation:
PMID:  20576056     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Pre-operative recognition of significant abnormalities of the coronary arteries is important in a variety of congenital cardiac conditions. Failure to diagnose anomalous origin of the coronary artery from the pulmonary artery during repair of other anomalies is important because reduction in pulmonary artery pressure will reduce myocardial perfusion pressure.
PATIENTS: We report two cases of the rare association of anomalous origin of the left coronary artery from the right pulmonary artery, aortic coarctation, and mitral stenosis.
CONCLUSIONS: Definitive imaging of coronary artery anatomy by echocardiography or other modalities should form a routine part of diagnostic assessment in all congenital heart disease patients but particularly those with left heart obstruction.
Gareth Morgan; Christopher Caldarone; Robert Anderson; Rajiv Chaturvedi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Congenital heart disease     Volume:  5     ISSN:  1747-0803     ISO Abbreviation:  Congenit Heart Dis     Publication Date:    2010 May-Jun
Date Detail:
Created Date:  2010-06-25     Completed Date:  2010-10-12     Revised Date:  2012-08-23    
Medline Journal Info:
Nlm Unique ID:  101256510     Medline TA:  Congenit Heart Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  327-30     Citation Subset:  IM    
Hospital for Sick Children--Labatt Family Heart Centre, Toronto Canada.
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MeSH Terms
Abnormalities, Multiple* / diagnosis,  physiopathology,  surgery
Aortic Coarctation / complications*,  diagnosis,  physiopathology,  surgery
Blood Pressure
Cardiac Surgical Procedures
Coronary Angiography
Coronary Circulation
Coronary Vessel Anomalies / complications*,  diagnosis,  physiopathology,  surgery
Echocardiography, Doppler, Color
Heart Failure / diagnosis,  etiology*,  physiopathology,  surgery
Mitral Valve Stenosis / congenital*,  diagnosis,  physiopathology,  surgery
Pulmonary Artery / abnormalities*,  physiopathology,  surgery
Pulmonary Circulation
Treatment Outcome

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

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