[Abnormal implantation of a coronary artery in a 53-year-old patient. Surgical correction].
In a 53-years old patient complaining of dyspnoea and angina of effort, the coronary arteriography demonstrated ab abnormal implantation of the pulmonary artery into the left coronary-artery. Correlated with the 39 cases of the adolescent and the adult published in the literature, the case reported has some peculiarities: poorness of the auscultatory signs consisting in a mild apical systolic murmur; electrocardiographic pattern of left complete bundle-branch block; presence of massive calcifications visible by X-ray into the lateral, wall of the left ventricle. Coronary arteriography and catherization made it possible to demonstrate a left-to-right shunt by backward-flow revascularization of the left coronary artery starting from the right coronary artery. A simple suture of the implantation foramen of the abnomal coronary artery resulted in increased pressure into this artery and was followed by disappearance of angina during an observation period of 5 months.
D000787:Angina Pectoris / Q000209:etiology; D000790:Angiocardiography; D002037:Bundle-Branch Block / Q000209:etiology; D006328:Cardiac Catheterization; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging / Q000601:surgery*; D004417:Dyspnea / Q000209:etiology; D004562:Electrocardiography; D005260:Female; D006327:Heart Block / Q000209:etiology; D006337:Heart Murmurs; D006801:Humans; D008722:Methods; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology
Implantation anormale d'une artére coronaire chez une malade de 53 ans. Correction chirurgicale