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Malignant anomalous left coronary artery associated with acute coronary syndrome and subsequent post-operative secondary stenosis of the reimplanted anomalous left coronary artery

Published online by Cambridge University Press:  28 May 2012

Debasish Banerjee ,
Mohanaluxmi Sriharan  and
Edward D. Nicol
Debasish Banerjee
Affiliation:
Department of Radiology, Royal Brompton Hospital and Harefield NHS Trust, London, United Kingdom
Mohanaluxmi Sriharan*
Affiliation:
Department of Radiology, Royal Brompton Hospital and Harefield NHS Trust, London, United Kingdom
Edward D. Nicol
Affiliation:
Department of Radiology, Royal Brompton Hospital and Harefield NHS Trust, London, United Kingdom Department of Cardiology, Royal Brompton Hospital and Harefield NHS Trust, London, United Kingdom
*
Correspondence to: Dr M. Sriharan, MBBS, MRCP, FRCR, Royal Brompton Hospital and Harefield NHS Trust, Sydney Street, London SW3 6NP, United Kingdom. Tel: +44 207 351 2855; Fax: +44 207 351 8577; E-mail: [email protected]
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Abstract

We present a case of a 14-year-old boy who presented with symptoms resulting from an anomalous left coronary artery. He underwent corrective surgery to reimplant the left coronary artery into the left coronary sinus. After 3 months, he developed new symptoms. On further investigation, a tight ostial stenosis of the left coronary artery was observed and the patient underwent left internal mammary artery to left anterior descending coronary artery bypass graft. This case showcases the importance of multi-modality imaging in the diagnosis of coronary artery anomalies and potential post-surgical complications.

Keywords

Coronary arteryaberrant coronary arterycomputed tomographyreimplantation surgeryostial stenosis
Type
Brief Report
Information
Cardiology in the Young , Volume 23 , Issue 1 , February 2013 , pp. 149 - 153
Copyright
Copyright © Cambridge University Press 2012

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