Open AccessAnomalous origin of left coronary artery from the pulmonary artery: Evolution of left ventricular function and perfusion after surgery in a 44‐year‐old man
Author(s) -
y Patrice,
Beaune Jacques,
Champsaur GÉRard,
Bozio AndrÉ,
Age Colette,
Fontana JÉRǑMe,
Tissot Alain
Publication year - 1992
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960150616
Subject(s) - medicine , left coronary artery , cardiology , anastomosis , perfusion , pulmonary artery , abnormality , artery , heart disease , ligation , ventricular function , coronary artery disease , gauche effect , surgery , psychiatry
Anomalous origin of left coronary vessel from the pulmonary artery is an almost universally fatal form of congenital heart disease unless appropriate corrective surgery is performed at an early age. A case was diagnosed in a symptomatic 44‐year‐old man who presented an impairment of systolic left ventricular function. The abnormality was successfully treated with ligation of the left coronary artery combined with left internal mammary artery anastomosis. Left ventricular function improved dramatically six months after surgery, both at rest and during exercise. Such an evolution suggests that surgery may be indicated not only in infants but also in adults with this congenital heart abnormality.