Anomalous Left Coronary Artery From Pulmonary Artery With Mitral Stenosis

• Published in: The Annals of thoracic surgery Vol. 92; no. 2; pp. 735 - 737
• Main Authors: Das, Mrinalendu, MCh, Mahindrakar, Pallavi, MD, Das, Debasis, MCh, Behera, Sukanta Kumar, MCh, Roy Chowdhury, Saibal, MD, FNB, Bandyopadhyay, Biswajit, MD, FNB
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.08.2011; Elsevier
• Subjects: Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Blood Vessel Prosthesis Implantation; Cardiac Catheterization; Cardiology. Vascular system; Cardiothoracic Surgery; Coronary Angiography; Coronary Vessel Anomalies - diagnosis; Coronary Vessel Anomalies - surgery; Diagnosis, Differential; Echocardiography; Endocardial and cardiac valvular diseases; Female; Heart; Heart Failure - diagnosis; Heart Failure - surgery; Hemodynamics - physiology; Humans; Hypertension, Pulmonary - diagnosis; Hypertension, Pulmonary - surgery; Medical sciences; Mitral Valve - surgery; Mitral Valve Stenosis - diagnosis; Mitral Valve Stenosis - surgery; Pneumology; Postoperative Complications - physiopathology; Pulmonary Artery - abnormalities; Pulmonary Artery - surgery; Rheumatic Heart Disease - diagnosis; Rheumatic Heart Disease - surgery; Surgery; Ventricular Dysfunction, Left - diagnosis; Ventricular Dysfunction, Left - surgery; Young Adult; 20; Cardiac valvular disease; Cardiovascular disease; Anesthesia; Left coronary artery; Circulatory system; Mitral stenosis; Cardiology; Left pulmonary artery
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2011.02.022

The usual presentation of anomalous left coronary artery from pulmonary artery is severe left-sided heart failure and mitral valve insufficiency presenting during the first months of life. The manifestations of left heart failure may be masked if pulmonary artery pressure remains high. We believe this is a rarest of rare case of anomalous left coronary artery from pulmonary artery with severe mitral stenosis and pulmonary hypertension in which pulmonary hypertension, along with good collateral circulation helped to preserve left ventricular function.