Abstract
Anomalous origin of the left coronary artery from the pulmonary artery is a rare, almost universally fatal form of congenital heart disease. A case was diagnosed in a 19 year old woman who had exercise induced syncope and ST segment displacement during exercise stress testing. The anomaly was successfully treated with ligation of the anomalous left coronary artery combined with saphenous vein grafting. Young adults with exercise induced syncope should be examined by exercise stress testing, and if it induces ST segment displacement coronary angiography should be undertaken.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Askenazi J., Nadas A. S. Anomalous left coronary artery originating from the pulmonary artery. Report on 15 cases. Circulation. 1975 Jun;51(6):976–987. doi: 10.1161/01.cir.51.6.976. [DOI] [PubMed] [Google Scholar]
- Ihekwaba F. N., Davidson K. G., Ogilvie B., Caves P. K. Anomalous origin of the left coronary artery from the pulmonary artery with coronary artery steal in adults. Report of two cases and review of the literature. Thorax. 1976 Jun;31(3):337–345. doi: 10.1136/thx.31.3.337. [DOI] [PMC free article] [PubMed] [Google Scholar]
- KEITH J. D. The anomalous origin of the left coronary artery from the pulmonary artery. Br Heart J. 1959 Apr;21(2):149–161. doi: 10.1136/hrt.21.2.149. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moodie D. S., Fyfe D., Gill C. C., Cook S. A., Lytle B. W., Taylor P. C., Fitzgerald R., Sheldon W. C. Anomalous origin of the left coronary artery from the pulmonary artery (Bland-White-Garland syndrome) in adult patients: long-term follow-up after surgery. Am Heart J. 1983 Aug;106(2):381–388. doi: 10.1016/0002-8703(83)90207-7. [DOI] [PubMed] [Google Scholar]
- SABISTON D. C., Jr, NEILL C. A., TAUSSIG H. B. The direction of blood flow in anomalous left coronary artery arising from the pulmonary artery. Circulation. 1960 Oct;22:591–597. doi: 10.1161/01.cir.22.4.591. [DOI] [PubMed] [Google Scholar]
- SABISTON D. C., Jr, PELARGONIO S., TAUSSIG H. B. Myocardial infarction in infancy. The surgical management of a complication of congenital origin of the left coronary artery from the pulmonary artery. J Thorac Cardiovasc Surg. 1960 Sep;40:321–336. [PubMed] [Google Scholar]
- Thomas C. S., Jr, Campbell W. B., Alford W. C., Jr, Burrus G. R., Stoney W. S. Complete repair of anomalous origin of the left coronary artery in the adult. J Thorac Cardiovasc Surg. 1973 Sep;66(3):439–446. [PubMed] [Google Scholar]