title: Anomalous origin of the left coronary artery from the pulmonary artery presenting as dilated cardiomyopathy: a case report.
abstract: BACKGROUND
  Anomalous origin of the left coronary artery from the pulmonary artery is a rare congenital anomaly and one of the causes of myocardial ischemia. The usual clinical course is severe left-sided heart failure and mitral valve insufficiency presenting during the first months of life.
  
  
  METHODS
  We report the case of a 6-month-old Tunisian girl who presented with dilated cardiomyopathy. Echocardiography suspected anomalous origin of the left coronary artery. The definitive diagnosis of anomalous origin of the left coronary artery from the pulmonary artery was reached by multislice computed tomography and coronary angiography.
  
  
  CONCLUSIONS
  In cases of dilated cardiomyopathy, anomalous origin of the left coronary artery from the pulmonary artery syndrome has to be kept in mind as a surgically correctable cause.
authors.affiliation: Department of Cardiology, Sahloul Hospital, Sousse, Tunisia. rym_gribaa@yahoo.fr.
authors.forename: Rym
authors.initials: R
authors.lastname: Gribaa
authors.forename: Mehdi
authors.initials: M
authors.lastname: Slim
authors.forename: Helmi
authors.initials: H
authors.lastname: Ben Salem
authors.forename: Elyes
authors.initials: E
authors.lastname: Neffati
authors.forename: Essia
authors.initials: E
authors.lastname: Boughzela
mesh_terms: D063748:Bland White Garland Syndrome / Q000150:complications / Q000175:diagnosis*; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis* / Q000209:etiology; D002932:Cineangiography; D017023:Coronary Angiography; D004452:Echocardiography; D005260:Female; D006801:Humans; D007223:Infant; D015898:Tomography Scanners, X-Ray Computed