Title: Anomalous origin of the left coronary artery from the pulmonary artery, functioning as a coronary arteriovenous fistula
Abstract: T he clinical picture of anomalous origin of the left coronary artery from the pulmonary artery in infants was first described by Bland, White and Garland.’ Keith2 has recently reviewed the subject. Although most individuals in whom the left coronary artery arises from the pulmonary artery die early in infancy, some survive and may remain active and asymptomatic for many years. George and Knowlan3 reviewed the case records of 13 adult patients with anomalous origin of the left coronary artery from the pulmonary artery, and added another case report. In most of these cases the right coronary artery was tremendously enlarged and its branches freely anastomosed with the branches of the left coronary artery. In this situation, as first postulated by Brooks,4 the flow in the left coronary artery is in a retrograde direction, and the functional effect is similar to that of other types of coronary arteriovenous fistulas. This report concerns a 7-year-old girl who was subjected to a detailed cardiac study which showed that the left coronary artery arose from the pulmonary artery. Case report
Publication Year: 1962
Publication Date: 1962-11-01
Language: en
Type: article
Indexed In: ['crossref', 'pubmed']
Access and Citation
Cited By Count: 23
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