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Extensive Left Ventricular to Coronary Artery Connections in Hypoplastic Left Heart Syndrome
Author(s) -
Roberson David A,
Cui Wei,
Cuneo Bettina F,
Van Bergen Andrew H.,
Javois Alex J,
Bharati Saroja
Publication year - 2008
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.2007.00607.x
Subject(s) - cardiology , medicine , hypoplastic left heart syndrome , right coronary artery , left coronary artery , artery , circumflex , coronary arteries , myocardial infarction , heart disease , coronary angiography
We demonstrate the echocardiographic features of a rare case of very extensive left ventricular to coronary arterial connections (VCC) to both the right and left coronary arteries in a fetus and subsequent neonate with hypoplastic left heart syndrome (HLH). The right coronary artery, after receiving multiple VCC supplied the only antegrade ascending aortic flow. The left main coronary artery was very hypoplastic and the left anterior descending coronary artery was dilated and tortuous with multiple large VCC. The left circumflex coronary artery arose exclusively from its own VCC. To our knowledge this is the first such echocardiographic demonstration of HLH with extensive bilateral VCC and coronary artery stenosis and interruption.