Imaging characteristics of anomalous left coronary artery from the pulmonary artery.
The authors report the imaging characteristics of the anomalous origin of the left coronary artery from the pulmonary artery in a 6 1/2-month-old male infant using electrocardiography, echocardiography, angiography, and electron-beam computed tomography. The patient presented with tachycardia, prolonged and interrupted feeding, failure to thrive, and myocardial infarction, and after diagnosis of the anomalous origin of the left coronary artery, survived the reimplantation of the left coronary artery directly to the ascending aorta. When reviewed 7 months after surgery, echocardiography showed improved left ventricular function and surface electrocardiography showed regression of pathologic Q waves in leads I, V 4, V 5, and V 6.
Lee
Meng-Luen
ML
Department of Pediatrics, the Division of Pediatric Cardiology, and the Pediatric Intensive Care Unit, Changhua Christian Hospital, Changhua, Taiwan.
Chiu
Ing-Sh
IS
Chen
Shyh-Jye
SJ
Chaou
Wun-Tsong
WT
D006328:Cardiac Catheterization; D003330:Coronary Vessel Anomalies / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004452:Echocardiography; D006801:Humans; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed