Anomalous Connection of Left Circumflex Artery to Pulmonary Artery

2002 ◽  
Vol 10 (4) ◽  
pp. 334-335 ◽  
Author(s):  
Seyed Hamid Mirkhani ◽  
Morteza Delavarkhan ◽  
Homeyra Bayat ◽  
Mahdi Sanatkar
Keyword(s):  
Cardiopulmonary Bypass ◽  
Coronary Angiography ◽  
Pulmonary Artery ◽  
Chest Discomfort ◽  
Circumflex Artery ◽  
Left Circumflex Artery ◽  
Right Pulmonary Artery ◽  
The Right ◽  
Successful Repair

A 52-year-old woman was evaluated for chest discomfort and dyspnea on exertion. Coronary angiography demonstrated an anomalous connection between the left circumflex artery and the right pulmonary artery. Successful repair was achieved under cardiopulmonary bypass, and the patient became completely symptom-free.

Abstract 141: A Case of Kawasaki Disease with Re-dilatation of a Coronary Artery Aneurysm after Regression

Circulation ◽  
2015 ◽  
Vol 131 (suppl_2) ◽  
Author(s):  
Kensuke Oka ◽  
Takaomi Minami ◽  
Tatsuya Anzai ◽  
Sadahiro Furui ◽  
Akiko Yokomizo ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Kawasaki Disease ◽  
Coronary Angiography ◽  
Artery Aneurysm ◽  
Circumflex Artery ◽  
Left Circumflex Artery ◽  
Coronary Ct ◽  
History Of ◽  
The Right

Background: In patients with Kawasaki disease (KD), re-dilatation of coronary artery lesions (CAL) after regression is very rare. Here we report a case of KD with CAL re-dilatation after regression. Case report: A 15-year-old boy was diagnosed with KD at 1 year of age and was treated with intravenous immunoglobulin (IVIG, 400 mg/kg х 5 days). On day 14, echocardiography revealed CAL on the right coronary artery (RCA) and left coronary artery (LCA). Coronary arteriographic findings were as follows: segment 1, 3 mm in diameter; segment 6, 5 mm in diameter. He was prescribed aspirin, ticlopidine, and warfarin for 3 years. When he was 3 years old, coronary angiography showed complete CAL regression. His medications were discontinued and he underwent routine follow-up by echocardiography on which the CAL were not seen. At 14 years of age, coronary CT revealed re-dilatation of the LCA. Coronary angiography showed the same findings: 7 mm in diameter at the bifurcation between the LAD and the left circumflex artery, while the other regions were intact. He restarted aspirin and warfarin. The mechanism of CAL re-dilatation remains unclear; however, it is very important to follow patients carefully and routinely using echocardiography and/or coronary computed tomography, especially in cases with a history of CAL.

Evaluation of Tc-99m Tetrofosmin Scan for Coronary Artery Disease Diagnosis

2002 ◽  
Vol 10 (3) ◽  
pp. 244-247
Author(s):  
Elie Chammas ◽  
Ahmad Yatim ◽  
Chadi Hage ◽  
Kozhaya Sokhn ◽  
Walid Tarcha ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Myocardial Perfusion ◽  
Sensitivity And Specificity ◽  
Right Coronary Artery ◽  
Exercise Stress ◽  
Stress Tests ◽  
Circumflex Artery ◽  
Left Circumflex Artery ◽  
The Right

Detection of myocardial perfusion abnormalities using Tc-99m tetrofosmin was evaluated for sensitivity and specificity compared to coronary angiography. Between January 1996 and January 1998, exercise stress tests and myocardial scintigraphy were performed in 58 patients, followed by coronary angiography within 2 months. There were 48 males and 10 females, aged 33 to 72 years (mean, 57 years). The sensitivity and specificity of exercise stress tests were 64% and 68%, respectively, while the sensitivity and specificity of Tc-99m tetrofosmin scans were 88% and 75%, respectively, compared to angiography. For Tc-99m tetrofosmin scans, the sensitivity was 78% for the left anterior descending artery, 66% for the left circumflex artery, and 76% for the right coronary artery; specificity was 74% for the left anterior descending artery, 90% for the left circumflex artery, and 75% for the right coronary artery. It was concluded that Tc-99m tetrofosmin allowed high-quality myocardial perfusion imaging with results comparable to those obtained using thallium-201 chloride.

Anomalous origin of the right pulmonary artery from the ascending aorta: repair without cardiopulmonary bypass

1989 ◽  
Vol 23 (3) ◽  
pp. 309-313 ◽  
Author(s):  
Carlo Fucci ◽  
Duccio C. di Carlo ◽  
Roberto Di Donato ◽  
Bruno Marino ◽  
Giuseppe Calcaterra ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Pulmonary Artery ◽  
Ascending Aorta ◽  
Anomalous Origin ◽  
Right Pulmonary Artery ◽  
The Right
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