Successful Repair of Infant with Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery Presenting with Heart Failure, Dilated Cardiomyopathy and Mitral Regurgitation

Abstract

Anomalous origin of the left coronary artery from the pulmonary artery is a rare congenital heart anomaly that account for up to 0.5% of all congenital heart disease. Usually, infants' patients may present with failure to thrive, feeding difficulties, sweating, irritability or sudden cardiac death. However, they may be asymptomatic. This syndrome has a high mortality rate if left untreated during infancy period. Echocardiography and electrocardiography are helpful in detecting and establishing the diagnosis of Anomalous origin of the left coronary artery from the pulmonary artery for infants. Surgical repair to restore normal anatomical position of coronary system is the definitive intervention. Early detection and surgical intervention has significant positive impact on survival rate. This paper presents a case of a four months old girl, who presented with heart failure, dilated cardiomyopathy and mitral regurgitation and thereafter was diagnosed with Anomalous origin of the left coronary artery from the pulmonary artery syndrome.

Keywords: Anomalous origin of the left coronary artery from the pulmonary artery- Transthoracic echocardiography -Left anterior descending artery- Surgical repair.