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.

Ihekwaba, F. N.; Davidson, Karina; Ogilvie, Bruce C.; Caves, Philip K.

doi:10.1136/thx.31.3.337

Cited by 17 publications

(3 citation statements)

References 42 publications

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“…The second phase occurs when the pulmonary artery pressure falls and the blood flow in the left coronary artery becomes retrograde. This phase is critical, and survival in this phase depends on adequate blood circulation throughout collateral vessels to prevent myocardial ischemia [7]. The third phase is the establishment of the large collateral vessels in permitting adequate perfusion of the right coronary artery.…”

Section: Discussionmentioning

confidence: 99%

A case of anomalous origin of the left coronary artery from the pulmonary artery presenting with sudden cardiac arrest due to coronary artery steal generated by excessive exercise

Imamura

Kondo

Ishii

et al. 2016

Journal of Cardiology Cases

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Section: Discussionmentioning

confidence: 99%

A case of anomalous origin of the left coronary artery from the pulmonary artery presenting with sudden cardiac arrest due to coronary artery steal generated by excessive exercise

Imamura

Kondo

Ishii

et al. 2016

Journal of Cardiology Cases

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“…The perfusion of the left ventricle depends on the collaterals developed between the right coronary artery and left coronary artery. The number of collaterals or escape syndrome from the left coronary artery to the pulmonary artery with low pressure determine the adequacy of perfusion of the left ventricular myocardium or the degree of ischemia (3,4). Because of this pathophysiology clinical signs occur 2-3 months after birth in 85% of the patients (5).…”

Section: Discussionmentioning

confidence: 99%

Yenidoğan döneminde dilate kardiyomiyopatinin nadir bir nedeni: ALCAPA sendromu

Babaoğlu¹,

Binnetoğlu²,

Altun³

et al. 2011

tpa

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“…Some of these patients die suddenly after exertion. [2][3][4] We report an example of this condition in an adult, who underwent successful surgical treatment.…”

mentioning

confidence: 99%

Anomalous origin of the left coronary artery from the pulmonary artery in an adult.

Vesterlund¹,

Thomsen²,

Hansen³

1985

Heart

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ing showed a 0*3 mV depression of the ST segment in lead CM5 but produced no chest pain. The patient was referred for right heart catheterisation and intracardiac electrography. These examinations showed no signs of left to right shunt, and no inducible ventricular tachycardia or ventricular fibrillation was recorded during electrophysiological studies. Myocardial perfusion scintigraphy with thallium-201 showed decreased activity in the anteroapical region. We therefore decided to perform coronary angiography. There was no evidence of aortic stenosis, and the pressures in the left ventricle were normal (100/8 mm Hg). Left ventriculography showed a normal contraction pattern, an ejection fraction of 0-71, no signs of mitral regurgitation, and no left coronary artery arising from the aorta. The right coronary orifice was found to be very wide and when injected with contrast was dilated and tortuous with many collateral channels through which the contrast passed to the left coronary artery and finally drained retrogradely into the pulmonary artery (Figure a).At operation the right coronary artery was dilated. The left anterior descending artery was small with an internal diameter of 2 mm. The left anterior descending and the circumflex arteries were in the normal 110

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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.

Cited by 17 publications

References 42 publications

A case of anomalous origin of the left coronary artery from the pulmonary artery presenting with sudden cardiac arrest due to coronary artery steal generated by excessive exercise

A case of anomalous origin of the left coronary artery from the pulmonary artery presenting with sudden cardiac arrest due to coronary artery steal generated by excessive exercise

Yenidoğan döneminde dilate kardiyomiyopatinin nadir bir nedeni: ALCAPA sendromu

Anomalous origin of the left coronary artery from the pulmonary artery in an adult.

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