Myocardial infarction in infancy caused by compression of an anomalous left coronary artery arising from the right coronary artery

2004 ◽  
Vol 14 (6) ◽  
pp. 654-657 ◽  
Author(s):  
Christopher Duke ◽  
Eric Rosenthal ◽  
John M. Simpson

A 5-week-old child presented with a cardiac arrest secondary to myocardial ischaemia. Echocardiography demonstrated a single coronary artery arising from the right sinus of Valsalva. The coronary artery branched into left and right arteries, with the left artery then coursing anomalously in the tissue plane between the aortic root and the subpulmonary infundibulum. Compression of the left coronary artery caused severe myocardial ischaemia that resolved following construction of a bypass graft using the left internal thoracic artery. Stenosis at the anastomosis between the graft and the coronary artery was successfully treated by coronary angioplasty 2 years later.

Author(s):  
Waleed Albadi ◽  
Bernard Kreitmann ◽  
François Roubertie

Abstract The anomalous origin of the left coronary artery from the pulmonary artery in the position of a non-facing coronary sinus is extremely rare. The anatomical position of the ectopic ostia will determine which is the appropriate operative approach to create a dual-coronary supply. This report describes a technique of modified extra-anatomical rerouting using autologous pericardium patch and pulmonary artery flap to create a neo-composite coronary trunk passing anterior to the right ventricular outflow tract.


2010 ◽  
Vol 140 ◽  
pp. S70
Author(s):  
Ugur Canpolat ◽  
Hamza Sunman ◽  
Hikmet Yorgun ◽  
Ahmet Hakan Ates ◽  
Aysegul Ulgen ◽  
...  

2012 ◽  
Vol 144 (2) ◽  
pp. 402-408 ◽  
Author(s):  
Carlo R. Bartoli ◽  
William B. Wead ◽  
Guruprasad A. Giridharan ◽  
Sumanth D. Prabhu ◽  
Steven C. Koenig ◽  
...  

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