title: Management of anomalous circumflex coronary artery from the neo-pulmonary artery in an adolescent following neonatal arterial switch operation.
abstract: A 15-year-old male with transposition of the great arteries presented with exertional chest pain. He was found to have a circumflex coronary artery from the neo-pulmonary artery that had not been transferred during his arterial switch operation. The circumflex coronary artery, fed through collaterals from a re-implanted single coronary artery, resulted in coronary steal. This report describes a management pathway to treat this rare anomaly.
authors.affiliation: Division of Cardiology, Department of Pediatrics, University of Tennessee Health Science Center, Le Bonheur Children's Hospital, Memphis, Tennessee.
authors.forename: Lauren M
authors.initials: LM
authors.lastname: Haddad
authors.forename: H Lynn
authors.initials: HL
authors.lastname: Magill
authors.forename: Shyam K
authors.initials: SK
authors.lastname: Sathanandam
mesh_terms: D000293:Adolescent; D000787:Angina Pectoris / Q000209:etiology; D006328:Cardiac Catheterization / Q000295:instrumentation; D006348:Cardiac Surgical Procedures; D003097:Collateral Circulation; D017023:Coronary Angiography; D003326:Coronary Circulation; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D005080:Exercise Test; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D017202:Myocardial Ischemia / Q000209:etiology; D055414:Myocardial Perfusion Imaging; D012092:Replantation; D014188:Transposition of Great Vessels / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome
keywords: coronary steal; nuclear perfusion; transposition of the great arteries