[Contribution of two-dimensional echocardiography to the diagnosis of abnormalities of the left coronary artery originating in the trunk of the pulmonary artery].
The abnormal origin of the left coronary artery from the trunk of the pulmonary artery is rarely encountered, difficult to diagnose and has a severe prognosis because of the major risk of sudden death. The authors report the case of a 63 year-old male patient, presenting this anomaly which creates a true left-to-right shunt with myocardial ischemia secondary to the steal of coronary blood toward the pulmonary artery. The diagnosis is evoked by bidimensional cardiac sonography, pulsated and color Doppler, which permit to confirm the left-to-right shunt while this is confirmed by coronary angiography. The treatment is essentially surgical.
Allal
J
J
Service de Cardiologie A, CHRU, Poitiers.
Schnebert
B
B
Coisne
D
D
Vieyres
C
C
Menu
P
P
Barraine
R
R
D000787:Angina Pectoris / Q000209:etiology; D000790:Angiocardiography; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis*; D015150:Echocardiography, Doppler; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging
Apport de l'échocardiographie bidimensionnelle dans le diagnostic des anomalies de naissance de l'artère coronaire gauche du tronc de l'artère pulmonaire.