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European Heart Journal 1993 14(7):1006-1007;
Copyright © 1993 by the European Society of Cardiology.
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© 1993 The European Society of Cardiology

Pulmonary artery origin of the left coronary artery: diagnosis by transoesophageal echocardiography in infancy

D. KECECIOGLU, S. KOTTHOFF, W. KONERTZ, H. H. SCHELD and J. VOGT

Departments of Pediatric Cardiology and Cardiovascular Surgery, Wesifälische Wilhelms-University D-4400 Münster, Germany

Received 5 November 1992; revised 27 January 1993; .

Correspondence: Dr D Kececioglu. Westfälische Wilhelms-Universität. Albert-Schweitzer-Strafße 33, D-440 Münster, Germany

Abstract

In two infants the anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) was detected prospectively by transoesophageal echocardiography (TEE). Colour flow mapping and pulsed Doppler ultrasound revealed a predominant right-to-left shunt from the pulmonary artery to the left coronary artery. These findings were confirmed by angiography.

Transihoracic echocardiography (TTE)failed to show the anomalous origin of the left coronary artery or any abnormal pulmonary flow pattern.

TEE may be useful in the diagnosis of ALCAPA in selected cases, when TTE is inconclusive.

Key Words: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) • transoesophageal echocardiography


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