The diagnosis of anomalous origin of the left coronary artery from the pulmonary artery by echocardiography: Case report.
The anomalous origin of the left coronary artery from the pulmonary artery is a rare congenital heart disease that affects 1 of 300,000 live births. We present the case of an 18-year-old female presenting with chest pain and dyspnea after vigorous exercise, and whose two-dimensional echocardiogram initially displayed a "normal connection" between the left coronary artery with the aortic sinus of Valsalva. Using a systematic diagnostic echocardiography approach, we rightfully diagnosed it as anomalous origin of the left coronary artery from the pulmonary artery.
Huang
He
H
Department of Cardiology, West China Hospital of Sichuan University, 610041, Chengdu, China.
Zhang
Ju-qian
JQ
Li
Chen
C
Rao
Li
L
Feng
Yuan
Y
Dian
Ke
K
Tang
Hong
H
D000293:Adolescent; D002637:Chest Pain / Q000209:etiology; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology; D004452:Echocardiography / Q000379:methods; D018618:Echocardiography, Doppler, Color / Q000379:methods; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000000981:diagnostic imaging* / Q000601:surgery; D016896:Treatment Outcome