Anomalous Left Coronary From the Pulmonary Artery Presenting as Ventricular Fibrillation After Persistent Ductus Arteriosus Ligation

作者:Fudulu Daniel P*; Tulloh Robert M R; Wolf Andrew R; Parry Andrew J; Stoica Serban C
来源:Annals of Thoracic Surgery, 2015, 100(1): E9-E10.
DOI:10.1016/j.athoracsur.2015.04.015

摘要

An anomalous left coronary artery from the pulmonary artery (ALCAPA) is rarely associated with persistent ductus arteriosus (PDA). A large PDA can maintain perfusion in the left coronary artery, delaying presentation. Assessing the origin of the coronary arteries before PDA ligation is difficult, often being performed in very small or even preterm babies. We present the case of a 5-month-old infant with echocardiographic features of mitral regurgitation and subendocardial ischemia who experienced ischemia and cardiac arrest after PDA ligation. Transesophageal echocardiography demonstrated ALCAPA, and left coronary translocation was performed. The infant was discharged after 10 days.

  • 出版日期2015-7