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Anomalous origin of the left coronary from the trunk of the pulmonary artery. Description of a clinical case

Aurier, E.; Favaro, L.; Masini, F.; Botti, G.

Giornale Italiano di Cardiologia 17(4): 368-373

1987

ISSN/ISBN: 0046-5968
PMID: 3653592
Document Number: 289941
The case of a 32 year old woman with anomalous origin of the left coronary artery from the pulmonary trunk is reported, in whom, for technical difficulties, the surgical correction has been limited to artery ligation. After surgery, there was a complete clinical improvement and normalization of the stress electrocardiogram. Nevertheless, radioisotopic studies--exercise Thallium 201 scintigraphy and radionuclide ventriculography--disclosed a poor left ventricular function. It is possible to suppose that the prolonged perfusion deficit resulted in an extensive area of myocardial fibrosis.

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