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Myocardial infarction in infancy caused by compression of an anomalous left coronary artery arising from the right coronary artery

Published online by Cambridge University Press:  21 January 2005

Christopher Duke ,
Eric Rosenthal  and
John M. Simpson
Christopher Duke
Affiliation:
Department of Paediatric Cardiology, Guy's Hospital, London, UK
Eric Rosenthal
Affiliation:
Department of Paediatric Cardiology, Guy's Hospital, London, UK
John M. Simpson
Affiliation:
Department of Paediatric Cardiology, Guy's Hospital, London, UK
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Abstract

A 5-week-old child presented with a cardiac arrest secondary to myocardial ischaemia. Echocardiography demonstrated a single coronary artery arising from the right sinus of Valsalva. The coronary artery branched into left and right arteries, with the left artery then coursing anomalously in the tissue plane between the aortic root and the subpulmonary infundibulum. Compression of the left coronary artery caused severe myocardial ischaemia that resolved following construction of a bypass graft using the left internal thoracic artery. Stenosis at the anastomosis between the graft and the coronary artery was successfully treated by coronary angioplasty 2 years later.

Keywords

Internal thoracic artery bypass graftcoronary angioplastyinfantcoronary arterial surgery
Type
Brief Report
Information
Cardiology in the Young , Volume 14 , Issue 6 , December 2004 , pp. 654 - 657
Copyright
© 2004 Cambridge University Press

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