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Anomalous origin of the left coronary artery: discovery during an ambulatory surgical procedure in a 3‐month old, previously healthy infant
Author(s) -
Heidegger Thomas,
Waidelich Ernst,
Kreienbuehl Georg
Publication year - 2001
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.2001.00520.x
Subject(s) - medicine , ambulatory , circulatory system , occult , coronary artery disease , cardiology , left coronary artery , coronary artery anomaly , artery , myocardial infarction , coronary angiography , right coronary artery , alternative medicine , pathology
We report a rare coronary anomaly in a 3‐month old symptomless infant with an anomalous origin of the left coronary artery, that became manifest during anaesthesia for an ambulatory procedure, leading to circulatory arrest. Precordial stethoscope and pulse oximeter unequivocally showed a circulatory arrest. Even in ambulatory procedures, a presumed healthy patient may quickly develop a life‐threatening condition because of occult disease. The successful management of such cases depends on efficient and coordinated teamwork.