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Ann Thorac Surg 2008;86:1998. doi:10.1016/j.athoracsur.2008.03.018
© 2008 The Society of Thoracic Surgeons
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Massimo A. Padalino
Giovanni Stellin
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Right arrow Congenital - cyanotic

Images in Cardiothoracic Surgery

Unusual Case of Anomalous Origin of the Left Coronary Artery From the Distal Right Pulmonary Artery

Altin Veshti, MD, Massimo A. Padalino, MD, PhD*, Vladimiro L. Vida, MD, Giovanni Stellin, MD

Pediatric and Congenital Cardiac Surgery Unit, University of Padua Medical School, Padua, Italy

* Address correspondence to Dr Padalino, Pediatric and Congenital Cardiac Surgery Unit, "Centro Gallucci," Via Giustiniani, 2, Padua, 35128, Italy (Email: massimo.padalino@unipd.it).

The first 20% of the full text of this article appears below.

A full-term born, female baby with prenatal diagnosis of aortic coarctation underwent successful coarctectomy at 8 days of life. However, despite full anti-congestive therapy, she showed failure to thrive (body weight, 3.5 kg; 25th percentile) and congestive heart failure. At 2 months of age, two-dimensional echocardiography revealed a progression of mitral regurgitation from mild to moderate, dilated left ventricle, and decreased left ventricular ejection fraction of 40%. Cardiac angiography revealed an anomalous origin of the left main coronary artery from the distal right pulmonary artery, since only the right coronary artery was visualized (Fig 1), and the patient was scheduled for surgery. Through a midline . . . [Full Text of this Article]






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