|
KMID : 0368120000300101323
|
|
Korean Circulation Journal
2000 Volume.30 No. 10 p.1323 ~ p.1327
|
|
|
A Case of Anomalous Origin of Left Coronary Artery from the Pulmonary Artery with Severe Mitral Regurgitation
|
|
김종철/Jong chul Kim
윤영진/고관호/박도현/서일우/추윤호/이철환/홍명기/송재관/이재원/박성욱/박승정/Young jin Yoon/Kwan Ho Ko/Il wou Suh/Yoon ho Choo/Do hyun Park/Cheol Whan Lee/Myeong Ki Hong/Jae Kwan Song/Jae Won Lee/Seong Wook Park/Seung Jung Park
|
|
|
Abstract
|
|
|
We report a case of an anomalous origin of left coronary artery from the pulmonary artery with severe mitral regurgitation. A 20-year-old female was admitted to hospital for recurrent syncope and dyspnea on exertion. Cardiac ausculatation revealed
systolic murmur radiating to left axilla and blood pressure of 90/70 ㎜Hg. Electrocardiography showed a nonspecific ST-T wave change on V1, V2, V6, I, & aVL leads. Holter monitering showed no significant abnormality except occasional premature
ventricular complexes. Chest radiography showed mild cardiomegaly with mitral valvular heart configuration and no pulmonary abnormality. Echocardiography showed normal left ventricular dimension and systolic function with marked dilated left atrium,
severe mitral regurgitation, & severe resting pulmonary hypertension. Aortogram didn't show left coronary artery ostium. Right coronary angiogram showed normal right coronary artery which supplied major left epicardial coronary arteries via good
collaterals (Rentrop grade Ⅲ). Pulmonary angiogram showed anomalous origin of left coronary artery from main pulmonary trunk. She underwent mitral valvuloplasty and coronary artery bypass graft.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|