Anomalous origin of the left coronary artery from the pulmonary trunk in a 45-year-old woman

• Published in: Arquivos brasileiros de cardiologia Vol. 81; no. 2; pp. 199 - 201
• Main Authors: Jacob, José Luiz Balthazar, Salis, Fernando Vilela
• Format: Journal Article
• Language: English; Portuguese
• Published: Brazil Sociedade Brasileira de Cardiologia - SBC 01.08.2003; Sociedade Brasileira de Cardiologia (SBC)
• Subjects: CARDIAC & CARDIOVASCULAR SYSTEMS; Coronary Vessel Anomalies - diagnosis; Coronary Vessel Anomalies - surgery; Female; Humans; Middle Aged; Pulmonary Artery - abnormalities; Pulmonary Artery - surgery
• ISSN: 0066-782X; 1678-4170; 0066-782X; 1678-4170
• DOI: 10.1590/S0066-782X2003001000008

We report a rare case of anomalous origin of the left coronary artery from the pulmonary trunk in a 45-year-old woman. The approach and technique used for selective catheterization of an anomalous left coronary artery arising from the pulmonary trunk are described. Six years after diagnosis, echocardiography showed left ventricular disfunction, and surgical treatment was indicated again. The origin of the left coronary artery from the pulmonary trunk was closed, and the postoperative period was uneventful, with recovery of left ventricular function and disappearance of ischemic features on stress myocardial perfusion imaging with 99m Tc-sestamibi, performed 4 weeks after surgery.