Body Region: Cardiovascular
Author: Jean-François Paul, MD, Paris, France
1. Patient presentation
- A 9-month-old infant was referred in pediatric-cardiology unit for suspicion of anomalous origin of the left coronary artery from the pulmonary artery. He was born forward with a low birth weight (2.4 kg). His chest X-ray, done after several episodes of bronchitis, showed a cardiomegaly and peribronchial hypervascularization. His electrocardiogram was in a sinus rhythm, and pointed electrics signs of aftereffects in the anterolateral territory. His trans-thoracic echocardiography discovered a dilated left ventricle with a systolic dysfunction (35mm/25mm shorteness fraction = 17%), akinesia of the anteri-apical wall, a mitral regurgitation and difficulties to see the coronary arteries.
A CT coronary angiography was performed to look for possible coronary