Hostname: page-component-848d4c4894-wg55d Total loading time: 0 Render date: 2024-05-20T19:54:31.192Z Has data issue: false hasContentIssue false

One train may hide another: anomalous origin of the left coronary artery from the pulmonary artery revealed by supraventricular tachycardia

Published online by Cambridge University Press:  24 May 2011

Thomas Cognet
Affiliation:
Pediatric Cardiology Unit, Children's Hospital, Toulouse University Hospital, France
Pierre-Emmanuel Séguéla*
Affiliation:
Pediatric Cardiology Unit, Children's Hospital, Toulouse University Hospital, France
Philippe Acar
Affiliation:
Pediatric Cardiology Unit, Children's Hospital, Toulouse University Hospital, France
*
Correspondence to: Dr P.-E. Séguéla, Pediatric Cardiology Unit, Children's Hospital, Toulouse University Hospital, 330 Avenue de Grande-Bretagne, 31059 Toulouse Cedex 9, France. Tel: 0033 534557459; Fax: 0033 534558663; E-mail: peseguela@yahoo.fr

Abstract

We report the case of a 1-month-old boy with an unusual association of supraventricular tachycardia and anomalous origin of the left coronary artery from the pulmonary artery. Although signs of infarction were visible on the first electrocardiogram, the presence of an arrhythmia did not immediately suggest a coronary anomaly. Echocardiography allowed the diagnosis, thus leading to appropriate care.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Cowles, RA, Berdon, WE. Bland-White-Garland syndrome of anomalous left coronary artery arising from the pulmonary artery (ALCAPA): a historical review. Pediatr Radiol 2007; 37: 890895.Google Scholar
2. Math, RS, Parakh, N, Sarin, SS, Tyagi, S. Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) presenting as a complete heart block. Pediatr Cardiol 2010; 31: 526529.Google Scholar
3. Kristensen, T, Kofoed, KF, Helqvist, S, Helvind, M, Søndergaard, L. Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) presenting with ventricular fibrillation in an adult: a case report. J Cardiothorac Surg 2008; 3: 33.CrossRefGoogle Scholar
4. Cohen, M, Berger, S. The electrocardiogram as an adjunct in diagnosing congenital coronary arterial anomalies. Cardiol Young 2010; 20 (Suppl 3): 5967.CrossRefGoogle ScholarPubMed
5. Bonnemains, L, Lambert, V, Moulin-Zinch, A, Youssef, D, Serraf, A. Very early correction of anomalous left coronary artery from the pulmonary artery improves intensive care management. Arch Cardiovasc Dis 2010; 103: 579584.Google Scholar
6. Yang, YL, Nanda, NC, Wang, XF, et al. Echocardiographic diagnosis of anomalous origin of the left coronary artery from the pulmonary artery. Echocardiography 2007; 24: 405411.Google Scholar
7. Cohen, MS, Herlong, RJ, Silverman, NH. Echocardiographic imaging of anomalous origin of the coronary arteries. Cardiol Young 2010; 20 (Suppl 30): 2634.CrossRefGoogle ScholarPubMed