Limits...
Occult anomalous origin of the left coronary artery from the pulmonary artery with ventricular septal defect.

Awasthy N, Marwah A, Sharma R - Ann Pediatr Cardiol (2011)

Bottom Line: Manifestations of anomalous left coronary artery from the pulmonary trunk may be masked in the presence of an associated shunt lesion that prevents fall of pulmonary artery pressures and allows perfusion of the anomalous coronary artery.We present such a patient with a large ventricular septal defect associated with the anomalous coronary artery from the pulmonary artery.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Cardiology, Fortis Escorts Heart Institute, Okhla Road, New Delhi - 110 025, India.

ABSTRACT
Manifestations of anomalous left coronary artery from the pulmonary trunk may be masked in the presence of an associated shunt lesion that prevents fall of pulmonary artery pressures and allows perfusion of the anomalous coronary artery. We present such a patient with a large ventricular septal defect associated with the anomalous coronary artery from the pulmonary artery.

No MeSH data available.


Related in: MedlinePlus

Parasternal short axis view showing anomalous origin of left coronary artery from pulmonary artery
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3104537&req=5

Figure 1: Parasternal short axis view showing anomalous origin of left coronary artery from pulmonary artery

Mentions: An 18-month-old female infant was referred to our institution with history of repeated chest infections. The physical examination showed that the heart rate was 140/min and regular, with a respiratory rate of 48/min, but no respiratory distress was noted. The cardiac examination revealed a hyperactive precardium. The first heart sound was normal and the pulmonary component of the second heart sound was increased in intensity. A mid-diastolic rumble was appreciated at the apex. Chest X-ray showed cardiomegaly, with features of increased pulmonary blood flow. An electrocardiogram (ECG) showed biventricular hypertrophy with sinus rhytum. Echocardiogram showed a moderate-sized perimemebraneous ventricular septal defect with left to right flow (max systolic gradient of 40 mmHg), mild mitral regurgitation and elevated pulmonary artery pressure. Further evaluation showed anomalously originating left main coronary artery. It originated from the rightward portion of the pulmonary sinus [Figures 1 and 2]. Right coronary artery was dilated [Figure 3]. The child underwent successful translocation of the left main coronary artery to the aorta and ventricular septal defect closure, and has been doing well on follow-up.


Occult anomalous origin of the left coronary artery from the pulmonary artery with ventricular septal defect.

Awasthy N, Marwah A, Sharma R - Ann Pediatr Cardiol (2011)

Parasternal short axis view showing anomalous origin of left coronary artery from pulmonary artery
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3104537&req=5

Figure 1: Parasternal short axis view showing anomalous origin of left coronary artery from pulmonary artery
Mentions: An 18-month-old female infant was referred to our institution with history of repeated chest infections. The physical examination showed that the heart rate was 140/min and regular, with a respiratory rate of 48/min, but no respiratory distress was noted. The cardiac examination revealed a hyperactive precardium. The first heart sound was normal and the pulmonary component of the second heart sound was increased in intensity. A mid-diastolic rumble was appreciated at the apex. Chest X-ray showed cardiomegaly, with features of increased pulmonary blood flow. An electrocardiogram (ECG) showed biventricular hypertrophy with sinus rhytum. Echocardiogram showed a moderate-sized perimemebraneous ventricular septal defect with left to right flow (max systolic gradient of 40 mmHg), mild mitral regurgitation and elevated pulmonary artery pressure. Further evaluation showed anomalously originating left main coronary artery. It originated from the rightward portion of the pulmonary sinus [Figures 1 and 2]. Right coronary artery was dilated [Figure 3]. The child underwent successful translocation of the left main coronary artery to the aorta and ventricular septal defect closure, and has been doing well on follow-up.

Bottom Line: Manifestations of anomalous left coronary artery from the pulmonary trunk may be masked in the presence of an associated shunt lesion that prevents fall of pulmonary artery pressures and allows perfusion of the anomalous coronary artery.We present such a patient with a large ventricular septal defect associated with the anomalous coronary artery from the pulmonary artery.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Cardiology, Fortis Escorts Heart Institute, Okhla Road, New Delhi - 110 025, India.

ABSTRACT
Manifestations of anomalous left coronary artery from the pulmonary trunk may be masked in the presence of an associated shunt lesion that prevents fall of pulmonary artery pressures and allows perfusion of the anomalous coronary artery. We present such a patient with a large ventricular septal defect associated with the anomalous coronary artery from the pulmonary artery.

No MeSH data available.


Related in: MedlinePlus