TY - JOUR
T1 - Anomalous left coronary artery from the pulmonary artery with a large patent ductus arteriosus
T2 - Aversion of a catastrophe
AU - Aggarwal, Sanjeev
AU - Delius, Ralph E.
AU - Pettersen, Michael D.
PY - 2013/11
Y1 - 2013/11
N2 - We present an infant who had an anomalous left coronary artery arising from the pulmonary artery (ALCAPA) and a large patent ductus arteriosus (PDA), who was diagnosed before a potentially catastrophic closure of PDA. In the presence of normal left ventricular function and the absence of coronary artery collaterals, it is difficult to diagnose ALCAPA. A disproportionate degree of left ventriclular dilation and severity of mitral valve regurgitation relative to the degree of PDA shunt, and echogenic papillary muscles on an echocardiogram should raise a suspicion of coronary artery anomalies. The infant underwent surgical ligation of PDA with translocation of coronary arteries and had an uneventful recovery.
AB - We present an infant who had an anomalous left coronary artery arising from the pulmonary artery (ALCAPA) and a large patent ductus arteriosus (PDA), who was diagnosed before a potentially catastrophic closure of PDA. In the presence of normal left ventricular function and the absence of coronary artery collaterals, it is difficult to diagnose ALCAPA. A disproportionate degree of left ventriclular dilation and severity of mitral valve regurgitation relative to the degree of PDA shunt, and echogenic papillary muscles on an echocardiogram should raise a suspicion of coronary artery anomalies. The infant underwent surgical ligation of PDA with translocation of coronary arteries and had an uneventful recovery.
KW - Anomalous Left Coronary Artery from Pulmonary Artery
KW - Echocardiogram
KW - Patent Ductus Arteriosus
UR - http://www.scopus.com/inward/record.url?scp=84889590372&partnerID=8YFLogxK
U2 - 10.1111/chd.12016
DO - 10.1111/chd.12016
M3 - Article
C2 - 23095578
AN - SCOPUS:84889590372
VL - 8
SP - E168-E173
JO - Congenital Heart Disease
JF - Congenital Heart Disease
SN - 1747-079X
IS - 6
ER -