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Percutaneous closure of anomalous left coronary artery from pulmonary artery rare procedure in desperate situation: case report

Published online by Cambridge University Press:  28 February 2025

Mirza Mohd Kamran Open the ORCID record for Mirza Mohd Kamran [Opens in a new window] ,
Arun Gopi ,
Saurabhi Das Open the ORCID record for Saurabhi Das [Opens in a new window] ,
Zeeshan Lakhani ,
Amira Sheikh ,
Janeel Musthafa ,
G. Raghuram  and
Musthafa P.P. Mohammad
Mirza Mohd Kamran*
Affiliation:
Department of pediatric cardiology and cardiac surgery, Metromed international cardiac center, Calicut, Kerala, India
Arun Gopi
Affiliation:
Department of cardiology, Metromed international cardiac center, Calicut, Kerala, India
Saurabhi Das
Affiliation:
Department of Pediatric cardiology, Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, West Bengal, India
Zeeshan Lakhani
Affiliation:
Department of cardiac imaging, MGM hospital, Chennai, India
Amira Sheikh
Affiliation:
Department of pediatric cardiology and cardiac surgery, Metromed international cardiac center, Calicut, Kerala, India
Janeel Musthafa
Affiliation:
Department of pediatric cardiology and cardiac surgery, Metromed international cardiac center, Calicut, Kerala, India
G. Raghuram
Affiliation:
Department of cardiac anesthesia, Metromed International Cardiac Centre, Kozhikode, Kerala, India
Musthafa P.P. Mohammad
Affiliation:
Department of cardiology, Metromed international cardiac center, Calicut, Kerala, India
*
Corresponding author: Mirza Mohd Kamran; Email: [email protected]
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Abstract

Background:

When anomalous left coronary artery from the pulmonary artery is diagnosed in infancy, it is associated with high mortality, but collaterals permit rare adult survival despite coronary steal. We report normalisation of perfusion abnormality after transcatheter proximal left coronary occlusion in a symptomatic adult with inducible ischaemia.

Methods:

A forty-eight-year-old female presented with exertional chest pain; EKG showed sinus rhythm with left axis deviation with intraventricular conduction defect. Echocardiogram diagnosed an anomalous left coronary artery arising from the pulmonary artery with normal ventricular function which was further confirmed by CT. The case was discussed with the surgical team, and it was decided to surgically ligate. The patient did not give consent for the surgical procedure; the patient was taken up for the procedure.

Results:

Device was released safely after confirming the position on echocardiogram after the procedure showed improvement in intraventricular conduction defect and QTc duration, and also no significant ischaemic changes were noted. Myocardial perfusion scintigraphy was done after 6 months of procedure which showed improvement in contractile function and perfusion of left ventricle.

Conclusions:

Device closure in long-standing anomalous left coronary artery from pulmonary artery case is safe, and long-term follow-up is needed.

Keywords

Konar-MFOtranscatheterunconventionalrare
Type
Brief Report
Information
Cardiology in the Young , First View , pp. 1 - 6
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Copyright
© The Author(s), 2025. Published by Cambridge University Press

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