title: [Anomalous origin of the left coronary artery. Concomitant correction with valvar replacement for mitral insufficiency].
abstract: A four year-old boy with an anomalous origin of the left coronary artery (LCA) directly from the right pulmonary artery was reported. He had been underwent to mitral valve replacement by a St Judes no. 29, due to severe mitral insufficiency, secondary to an extensive myocardial infarction including the anterior and posterior papilary muscles, beside the implantation of the LCA in the aorta. Instead of this favorable outcome, it's emphasized the need for earlier recognition to avoid risk sequelae.
authors.affiliation: Instituto do Coracão do Hospital das Clínicas, FMUSP.
authors.forename: N M
authors.initials: NM
authors.lastname: Garay Echeverria
authors.forename: E
authors.initials: E
authors.lastname: Atik
authors.forename: N M
authors.initials: NM
authors.lastname: Ikari
authors.forename: A
authors.initials: A
authors.lastname: Riso
authors.forename: M
authors.initials: M
authors.lastname: Barbero Marcial
authors.forename: M
authors.initials: M
authors.lastname: Ebaid
mesh_terms: D001027:Aortography; D002675:Child, Preschool; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000601:surgery*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery*
vernacular_title: Origem anômala de artéria coronária esquerda. Correção concomitante à substituição valvar por insuficiência mitral.