Abnormal implantation of a coronary artery in a 53-year-old patient. Surgical correction
Acar, J.; Cabrol, C.; Bachelerie, P.; Pouget, P.; Vasile, N.; Duron, F.
Archives des Maladies du Coeur et des Vaisseaux 67(10): 1219-1225
1974
ISSN/ISBN: 0003-9683 PMID: 4218735 Document Number: 78438
In a 53-years old patient complaining of dyspnoea and angina of effort, the coronary arteriography demonstrated ab abnormal implantation of the pulmonary artery into the left coronary-artery. Correlated with the 39 cases of the adolescent and the adult published in the literature, the case reported has some peculiarities: poorness of the auscultatory signs consisting in a mild apical systolic murmur; electrocardiographic pattern of left complete bundle-branch block; presence of massive calcifications visible by X-ray into the lateral, wall of the left ventricle. Coronary arteriography and catherization made it possible to demonstrate a left-to-right shunt by backward-flow revascularization of the left coronary artery starting from the right coronary artery. A simple suture of the implantation foramen of the abnomal coronary artery resulted in increased pressure into this artery and was followed by disappearance of angina during an observation period of 5 months.