Anomalous Left Coronary Artery from the Pulmonary Artery with a Large Patent Ductus Arteriosus: Aversion of a Catastrophe

作者：Aggarwal Sanjeev^*; Delius Ralph E; Pettersen Michael D

来源：Congenital Heart Disease, 2013, 8(6): E168-E173.

DOI：10.1111/chd.12016

• Anomalous Left Coronary Artery from Pulmonary Artery
• Patent Ductus Arteriosus
• Echocardiogram

We present an infant who had an anomalous left coronary artery arising from the pulmonary artery (ALCAPA) and a large patent ductus arteriosus (PDA), who was diagnosed before a potentially catastrophic closure of PDA. In the presence of normal left ventricular function and the absence of coronary artery collaterals, it is difficult to diagnose ALCAPA. A disproportionate degree of left ventriclular dilation and severity of mitral valve regurgitation relative to the degree of PDA shunt, and echogenic papillary muscles on an echocardiogram should raise a suspicion of coronary artery anomalies. The infant underwent surgical ligation of PDA with translocation of coronary arteries and had an uneventful recovery.

• 出版日期2013-11