Author + information
- Received October 31, 1983
- Revision received December 13, 1983
- Accepted December 15, 1983
- Published online June 1, 1984.
- Saroja Bharati, MD, FACC*,a,
- Nakul Chandra, MD†,
- Lawrence W. Stephenson, MD‡,
- Henry R. Wagner, MW‡,
- Paul M. Weinberg, MD, FACC‡ and
- Maurice Lev, MD, FACC*
- ↵†Address for reprints: Saroja Bharati, MD, Congenital Heart and Conduction System Laboratory, Department of Pathology, Deborah Heart and Lung Center, Browns Mills, New Jersey 08015-1799.
Origin of the left coronary artery from the right pulmonary artery has rarely been documented. This is the first such case in a heart with an intact ventricular septum and paraductal coarctation of the aorta. Although an antemortem diagnosis was made and the anomalous left coronary artery was ligated, the patient, a 3½ month old infant, died 1 day after surgery. Autopsy confirmed the diagnosis, but revealed that the left coronary artery was dominant. It is believed that the fatal outcome in the infant was, in part, due to the dominance of the left coronary artery and the effects of the coarctation on the already ischemic left ventricle.
The Milton S. Hershey Medical Center, Hershey, Pennsylvania.. This study was aided by Grant HL 30558-01 from National Heart, Lung, and Blood Institutes, the National Institutes of Health, Bethesda, Maryland
- Received October 31, 1983.
- Revision received December 13, 1983.
- Accepted December 15, 1983.
- American College of Cardiology Foundation