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      Anomalous Origin of All Coronary Arteries from the Pulmonary Trunk

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          Abstract

          The origin of both coronary arteries from the pulmonary artery is a rare cardiac malformation. We report a baby who presented with an echocardiographically diagnosed perimembranous ventricular septal defect and normal left ventricular (LV) function. Later on the boy developed failure to thrive and increasing tachypnea. At the age of 5 weeks the ECG showed that LV strain and echocardiographic LV function had worsened (FS 18%). Echocardiography and heart catheterization showed that all coronary arteries originated from the pulmonary trunk. Intraoperative inspection revealed a single ostium for the right and left coronary artery in the nonfacing sinus of the pulmonary trunk. A tube was constructed connecting the coronary artery to the ascending aorta. Coronary perfusion was sufficient and the sinus rhythm was restored. However, in the early postoperative period there was a sudden deterioration of cardiac output followed by cardiac arrest. Reanimation was not successful.

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          Author and article information

          Journal
          CRD
          Cardiology
          10.1159/issn.0008-6312
          Cardiology
          S. Karger AG
          0008-6312
          1421-9751
          1997
          1997
          21 November 2008
          : 88
          : 6
          : 603-608
          Affiliations
          aDepartment of Pediatric Cardiology, Heinrich-Heine-Universität, Düsseldorf, Germany; bDepartment of Cardiac Surgery, ColumbiaUniversity New York, N.Y., USA
          Article
          177434 Cardiology 1997;88:603–608
          10.1159/000177434
          9397319
          © 1997 S. Karger AG, Basel

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          Page count
          Pages: 6
          Categories
          Case Report

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