Anomalous origin of the left coronary artery from the pulmonary artery associated with an accessory atrioventricular pathway and managed successfully with surgical and interventional electrophysiological treatment: a case report
2011
Case Report of a Boy with Anomalous Coronary Artery and Tachycardia
Sample size: 1
publication
Evidence: low
Author Information
Author(s): Tsoutsinos Alexandros, Mitropoulos Fotios, Trapali Christina, Papagiannis John
Primary Institution: Onassis Cardiac Surgery Center
Conclusion
This case highlights the successful treatment of a rare combination of congenital heart defects in a child.
Supporting Evidence
- The patient was diagnosed with an anomalous left coronary artery origin from the pulmonary artery.
- Recurrent supraventricular tachycardia was successfully treated with catheter ablation.
- The left ventricle was dilated with an ejection fraction of 30% before treatment.
- The surgical procedure involved a cross-clamp time of 92 minutes and bypass time of 137 minutes.
- Post-ablation, there was no recurrence of supraventricular tachycardia at the six-month follow-up.
Takeaway
A six-month-old boy had a rare heart problem that made his heart race, but doctors were able to fix it with surgery and special heart treatments.
Methodology
The patient underwent direct re-implantation of the left coronary artery to the aorta and radiofrequency catheter ablation for tachycardia.
Limitations
The case is a single report and may not represent broader outcomes.
Participant Demographics
A six-month-old boy from Pakistan.
Digital Object Identifier (DOI)
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