title: Anomalous left coronary artery from the pulmonary artery with a large patent ductus arteriosus: aversion of a catastrophe.
abstract: We present an infant who had an anomalous left coronary artery arising from the pulmonary artery (ALCAPA) and a large patent ductus arteriosus (PDA), who was diagnosed before a potentially catastrophic closure of PDA. In the presence of normal left ventricular function and the absence of coronary artery collaterals, it is difficult to diagnose ALCAPA. A disproportionate degree of left ventricular dilation and severity of mitral valve regurgitation relative to the degree of PDA shunt, and echogenic papillary muscles on an echocardiogram should raise a suspicion of coronary artery anomalies. The infant underwent surgical ligation of PDA with translocation of coronary arteries and had an uneventful recovery.
authors.affiliation: Division of Pediatric Cardiology/Department of Pediatrics, Wayne State University, Detroit, Mich, USA.
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Aggarwal
authors.forename: Ralph E
authors.initials: RE
authors.lastname: Delius
authors.forename: Michael D
authors.initials: MD
authors.lastname: Pettersen
mesh_terms: D000015:Abnormalities, Multiple; D063748:Bland White Garland Syndrome / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D006348:Cardiac Surgical Procedures; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D018618:Echocardiography, Doppler, Color; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007223:Infant; D008026:Ligation; D008944:Mitral Valve Insufficiency / Q000209:etiology; D011237:Predictive Value of Tests; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000209:etiology; D016277:Ventricular Function, Left
keywords: Anomalous Left Coronary Artery from Pulmonary Artery; Echocardiogram; Patent Ductus Arteriosus