Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery
A 36-year-old woman was seen with complaints of exertional chest pain and shortness of breath. Her medical history included atrial fibrillation and diabetes. Physical examination was unremarkable except for an irregular cardiac rhythm. Myocardial perfusion imaging revealed the presence of a large ar...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2017-01-01
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| Series: | Journal of Investigative Medicine High Impact Case Reports |
| Online Access: | https://doi.org/10.1177/2324709616684629 |
| _version_ | 1819055776600162304 |
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| author | Venkat Gangadharan MD Kamesh Sivagnanam MD Ghulam Murtaza MD Michael Ponders MD Otto Teixeira MD Timir Paul MD |
| author_facet | Venkat Gangadharan MD Kamesh Sivagnanam MD Ghulam Murtaza MD Michael Ponders MD Otto Teixeira MD Timir Paul MD |
| author_sort | Venkat Gangadharan MD |
| collection | DOAJ |
| description | A 36-year-old woman was seen with complaints of exertional chest pain and shortness of breath. Her medical history included atrial fibrillation and diabetes. Physical examination was unremarkable except for an irregular cardiac rhythm. Myocardial perfusion imaging revealed the presence of a large area of infarction involving the entire anterior and apical walls and part of the anteroseptal wall with minimal periinfarct ischemia. Computed tomography coronary angiogram revealed an anomalous left main coronary artery arising from the main pulmonary artery. Right and left heart catheterizations demonstrated moderate pulmonary hypertension with a slight step-up in oxygen saturation between the right ventricle and main pulmonary artery. Coronary angiography showed a large tortuous right coronary artery with collaterals to the left anterior descending artery that drained into the main pulmonary artery. She was referred for surgery. This case demonstrates a rare coronary artery anomaly in an adult where survival is dependent on collateral circulation. |
| first_indexed | 2024-12-21T13:12:54Z |
| format | Article |
| id | doaj.art-2be2302c43934116a3a088dc9848b86c |
| institution | Directory Open Access Journal |
| issn | 2324-7096 |
| language | English |
| last_indexed | 2024-12-21T13:12:54Z |
| publishDate | 2017-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Investigative Medicine High Impact Case Reports |
| spelling | doaj.art-2be2302c43934116a3a088dc9848b86c2022-12-21T19:02:49ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962017-01-01510.1177/232470961668462910.1177_2324709616684629Anomalous Origin of the Left Coronary Artery From the Pulmonary ArteryVenkat Gangadharan MD0Kamesh Sivagnanam MD1Ghulam Murtaza MD2Michael Ponders MD3Otto Teixeira MD4Timir Paul MD5Department of Internal Medicine, Division of Cardiology, East Tennessee State University, Johnson City, TN, USADepartment of Internal Medicine, Division of Cardiology, East Tennessee State University, Johnson City, TN, USADepartment of Internal Medicine, East Tennessee State University, Johnson City, TN, USADepartment of Paediatric Cardiology, East Tennessee State University, Johnson City, TN, USADepartment of Paediatric Cardiology, East Tennessee State University, Johnson City, TN, USADepartment of Internal Medicine, Division of Cardiology, East Tennessee State University, Johnson City, TN, USAA 36-year-old woman was seen with complaints of exertional chest pain and shortness of breath. Her medical history included atrial fibrillation and diabetes. Physical examination was unremarkable except for an irregular cardiac rhythm. Myocardial perfusion imaging revealed the presence of a large area of infarction involving the entire anterior and apical walls and part of the anteroseptal wall with minimal periinfarct ischemia. Computed tomography coronary angiogram revealed an anomalous left main coronary artery arising from the main pulmonary artery. Right and left heart catheterizations demonstrated moderate pulmonary hypertension with a slight step-up in oxygen saturation between the right ventricle and main pulmonary artery. Coronary angiography showed a large tortuous right coronary artery with collaterals to the left anterior descending artery that drained into the main pulmonary artery. She was referred for surgery. This case demonstrates a rare coronary artery anomaly in an adult where survival is dependent on collateral circulation.https://doi.org/10.1177/2324709616684629 |
| spellingShingle | Venkat Gangadharan MD Kamesh Sivagnanam MD Ghulam Murtaza MD Michael Ponders MD Otto Teixeira MD Timir Paul MD Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery Journal of Investigative Medicine High Impact Case Reports |
| title | Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery |
| title_full | Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery |
| title_fullStr | Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery |
| title_full_unstemmed | Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery |
| title_short | Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery |
| title_sort | anomalous origin of the left coronary artery from the pulmonary artery |
| url | https://doi.org/10.1177/2324709616684629 |
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