Early detection of anomalous origin of left coronary artery from the right pulmonary artery after successful repair of critical coarctation of the aorta.
Left ventricular (LV) function is impaired by increased afterload in neonates with severe coarctation of the aorta, which may result in endocardial fibroelastosis. Repair of the coarctation usually solves the problem, with LV function normalizing after a few weeks. This report describes a patient who underwent successful repair of critical coarctation with normalization of LV function despite signs of endocardial fibroelastosis but with persisting elevation of cardiac troponin T. Cardiac catheterization showed the rare coincidence of anomalous origin of left coronary artery from the right pulmonary artery (ALCAPA) and coronary sinus orifice atresia with left superior vena cava.
Celik
Levent
L
Department for Congenital Heart Disease/Pediatric Cardiology, Klinikum Links der Weser, Senator Wessling Strasse 1, 28277 Bremen, Germany. levent.celik@klinikum-bremen-ldw.de
Becker
Vera
V
Hammel
Dieter
D
Nürnberg
Jan-Hendrik
JH
D001017:Aortic Coarctation; D015415:Biomarkers / Q000378:metabolism; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D054326:Coronary Sinus / Q000002:abnormalities*; D003330:Coronary Vessel Anomalies / Q000175:diagnosis*; D042241:Early Diagnosis; D004695:Endocardial Fibroelastosis / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D020107:Troponin T / Q000378:metabolism*
D015415:Biomarkers; D020107:Troponin T