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Anomalous left coronary artery from the main pulmonary trunk: physiologic and clinical importance of its association with persistent ductus arteriosus.
Nehgme, R A; Dewar, M L; Lutin, W A; Talner, N S; Hellenbrand, W E.
Affiliation
  • Nehgme RA; Division of Pediatric Cardiology and Cardiovascular Surgery, Yale University School of Medicine, New Haven, Connecticut.
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.
Sujet(s)
Recherche sur Google
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
Recherche sur Google
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