Anomalous left coronary artery from the main pulmonary trunk: physiologic and clinical importance of its association with persistent ductus arteriosus.
Pediatr Cardiol
; 13(2): 97-9, 1992 Apr.
Article
de En
| MEDLINE
| ID: mdl-1614926
Anomalous left coronary artery (ALCA) from the pulmonary trunk presents in early infancy with a clinical picture of failure to thrive, congestive heart failure (CHF), angina-like episodes, and mitral insufficiency. These manifestations which are due to myocardial ischemia may change in the presence of an associated lesion. We present a case and review two previous reports of a patent ductus arteriosus (PDA) associated with this anomaly. Although signs and symptoms are not as clear due to the less impaired coronary perfusion and the presence of a PDA, the presence of mitral insufficiency should raise the possibility of an anomalous coronary artery and, therefore, a cardiac catheterization and angiocardiography are recommended in anticipation of reparative surgery.
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Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Artère pulmonaire
/
Anomalies congénitales des vaisseaux coronaires
/
Persistance du canal artériel
/
Hémodynamique
Type d'étude:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limites:
Female
/
Humans
/
Infant
Langue:
En
Journal:
Pediatr Cardiol
Année:
1992
Type de document:
Article
Pays de publication:
États-Unis d'Amérique