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Life saved and a lesson learned-anomalous origin of the left coronary artery from pulmonary artery in pregnancy

Part of: Advanced Imaging

Published online by Cambridge University Press:  31 August 2021

Salima A. Bhimani Open the ORCID record for Salima A. Bhimani [Opens in a new window] ,
Hani K. Najm  and
Rukmini Komarlu
Salima A. Bhimani*
Affiliation:
Department of Pediatric Cardiology, Cleveland Clinic Children’s, Cleveland, OH, USA
Hani K. Najm
Affiliation:
Department of Pediatric and Congenital Heart Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA
Rukmini Komarlu
Affiliation:
Department of Pediatric Cardiology, Cleveland Clinic Children’s, Cleveland, OH, USA
*
Author for correspondence: S. A. Bhimani, Pediatric Cardiology Department, Desk M41, 9500 Euclid Avenue, Cleveland, OH 44195, USA. Tel: +1 352-870-9135; Fax: +1 216-445-5679. E-mail: salima_bhimani@hotmail.com
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Abstract

Anomalous origin of the left coronary artery from pulmonary artery constitutes 0.5% of all CHD (Boutsikou M, Shore D, Li W, et al, Int J Cardiol 261: 49–53, 2018). Fifteen percent survive into adulthood undiagnosed and 90% present with sudden death (Yau JM, Singh R, Halpern EJ, Fischman D, Clin Cardiol 34: 204–210, 2011; Alexi-Meskishvili V, Berger F, Weng Y, Lange PE, Hetzer R, J Card Surg 10: 309–315, 1995). We describe an enigmatic case of a 29-year-old female who presented after an aborted cardiac arrest and was diagnosed with anomalous origin of the left coronary artery from pulmonary artery.

Keywords

Congenital heart diseaseischaemiamyocardial injurycardiomyopathyarrhythmiacoronary artery imagingpregnancy
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 4 , April 2022 , pp. 662 - 664
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Oral Presentation at the 23rd Annual Scientific Sessions of the Society of Cardiovascular Magnetic Resonance, Orlando, 13 February, 2020.

References

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