title: Early detection of anomalous origin of left coronary artery from the right pulmonary artery after successful repair of critical coarctation of the aorta.
abstract: 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.
authors: Department for Congenital Heart Disease/Pediatric Cardiology, Klinikum Links der Weser, Senator Wessling Strasse 1, 28277 Bremen, Germany. levent.celik@klinikum-bremen-ldw.de
authors: Levent
authors: L
authors: Celik
authors: Vera
authors: V
authors: Becker
authors: Dieter
authors: D
authors: Hammel
authors: Jan-Hendrik
authors: JH
authors: Nürnberg
mesh_terms: 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*
chemical_list: D015415:Biomarkers; D020107:Troponin T