Anomalous origin of the right coronary artery from the left ventricle.
A 22-month-old boy was referred to pediatric cardiology for evaluation of a heart murmur. He was asymptomatic except for occasional wheezing with activity. On evaluation, he was found to have both systolic and diastolic murmurs. Electrocardiography demonstrated possible left ventricular hypertrophy, with no evidence of ST-segment abnormalities. Echocardiography and cardiac catheterization showed an anomalous origin of the patient's right coronary artery from his left ventricle, just inferior to his aortic valve annulus.
Ippisch
Holly M
HM
The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA. holly.ippisch@cchmc.org
Kimball
Thomas R
TR
D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D006337:Heart Murmurs / Q000175:diagnosis* / Q000209:etiology*; D006352:Heart Ventricles / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D014463:Ultrasonography; D055815:Young Adult