title: Hemopericardium and cardiac tamponade as presenting findings of anomalous left coronary artery syndrome complicated by transmural myocardial infarction.
abstract: Anomalous origin of the left coronary artery from the pulmonary artery most commonly presents in infancy with clinical features of dilated cardiomyopathy, congestive heart failure or cardiogenic shock as a result of myocardial ischemia. We report the first presentation of this disorder with hemorrhagic pericardial effusion and cardiac tamponade as a result of a transmural myocardial infarction. The list of other causes of hemorrhagic pericardial effusion must now include anomalous left coronary artery syndrome.
authors.affiliation: Department of Pediatrics, Sections of Cardiology and Critical Care, Medical College of Georgia, 1120 15th Street, Augusta, GA 30912-3758, USA.
authors.forename: S
authors.initials: S
authors.lastname: Kaminer
authors.forename: E
authors.initials: E
authors.lastname: Truemper
mesh_terms: D000792:Angiography; D002305:Cardiac Tamponade / Q000175:diagnosis* / Q000209:etiology; D003330:Coronary Vessel Anomalies / Q000175:diagnosis* / Q000209:etiology; D004452:Echocardiography; D017809:Fatal Outcome; D006801:Humans; D007231:Infant, Newborn; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis; D010490:Pericardial Effusion / Q000175:diagnosis* / Q000209:etiology; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D013577:Syndrome