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Imaging Characteristics of Anomalous Left Coronary Artery From the Pulmonary Artery

Lee, Meng-Luen M.D.; Chiu, Ing-Sh Ph.D.; Chen, Shyh-Jye; Chaou, Wun-Tsong

Case Reports

The authors report the imaging characteristics of the anomalous origin of the left coronary artery from the pulmonary artery in a 612½-month-old male infant using electrocardiography, echocardiography, angiography, and electron-beam computed tomography. The patient presented with tachycardia, prolonged and interrupted feeding, failure to thrive, and myocardial infarction, and after diagnosis of the anomalous origin of the left coronary artery, survived the reimplantation of the left coronary artery directly to the ascending aorta. When reviewed 7 months after surgery, echocardiography showed improved left ventricular function and surface electrocardiography showed regression of pathologic Q waves in leads I, V4, V5, and V6.

From the Department of Pediatrics, the Division of Pediatric Cardiology, and the Pediatric Intensive Care Unit (M.-L.L.); the Division of Pediatric Neurology and Head (W.-T.C.); Changhua Christian Hospital, Changhua, Taiwan; the Department of Surgery (I.-S.C.), the Division of Cardiovascular Surgery; and the Department of Medical Imaging (S.-J.C.), College of Medicine, National Taiwan University Hospital, Taipei, Taiwan.

Address correspondence to Dr Meng-Luen Lee, Department of Pediatrics, Changhua Christian Hospital, No. 135 Nanhsiao St., Changhua 50050, Taiwan.

© 2002 Lippincott Williams & Wilkins, Inc.