Article Text

Anomalous origin of the left coronary artery from the pulmonary artery
  1. A K NIGHTINGALE,
  2. C J BURRELL,
  3. A J MARSHALL
  1. South West Cardiothoracic Centre,
  2. Plymouth Hospitals NHS Trust,
  3. Derriford Hospital, Plymouth PL6 8DH, UK

    Statistics from Altmetric.com

    Sir,—Case 2 from this report1 has subsequently been admitted with chest pain and polymorphic ventricular tachycardia (VT). This was initially treated with oral β blockers, but at electrophysiological testing the VT was still inducible. Coronary angiography showed no significant change from her previous angiogram. A myocardial perfusion scan with adenosine stress confirmed an anterior myocardial infarction with some flow reduction in the peri-infarct zone. There is difficulty in demonstrating reversible ischaemia in the presence of ALCAPA; however, she has been referred for surgical revascularisation and will be given an implantable cardioverter defibrillator if the VT remains inducible postoperatively.

    A conservative strategy might be employed in this condition, however surgical intervention may still need to be considered for late complications.

    References

    View Abstract

    Request permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.