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Thorac Cardiovasc Surg 1981; 29(2): 91-92
DOI: 10.1055/s-2007-1023450
© Georg Thieme Verlag Stuttgart · New York

Anomalous Origin of Left Coronary Artery with Aortopulmonary Window - A Case Report with Surgical Correction and Delayed Control

F. Bourlon, P. Kreitmann, J. Jourdan, D. Grinneiser, R. Schmitt, V. Dor
  • Department of Pediatric Cardiology, Department of Cardiac Surgery, Nice University, Institut A Tzanck, Saint Laurent du Var, France
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Publication History

1980

Publication Date:
19 March 2008 (online)

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Summary

A 9-month-old male baby was investigated for a massive left-to-right shunt at the arterial level. On right heart catheterization a patient ductus could not be demonstrated but retrograde arterial angiography showed an aorto-pulmonary window.

During corrective surgery on cardiac bypass, the left coronary artery was found to arise from the aorto-pulmonary window, this was corrected by dividing the communication distal to the origin of the left coronary artery. On follow-up investigation 6 months after operation the baby was without symptoms and showed a fully functional left coronary artery. To our knowledge this is the first case of such a congenital anomaly to be described,

Key words

Aorto-pulmonary window - Anomalous origin of left coronary artery