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Anomalous origin of the left coronary artery from the pulmonary artery: natural history and normal pregnancies
  1. A K Nightingale,
  2. C J Burrell,
  3. A J Marshall
  1. South West Cardiothoracic Centre, Plymouth Hospitals NHS Trust, Derriford Hospital, Plymouth PL6 8DH, UK
  1. Dr Nightingale.


Two female patients are described with anomalous origin of the left coronary artery arising from the pulmonary artery who sustained an anterolateral myocardial infarction in infancy. Neither patient received surgical treatment although both have lived to middle age with minimal cardiovascular problems and have had uncomplicated pregnancies. Good exercise tolerance and long term survival may be possible even without surgery for patients with this anomaly.

  • myocardial infarction
  • coronary vessel anomalies
  • pulmonary artery
  • pregnancy
  • congenital heart disease

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