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Coronary Artery Disease

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Clinical Echocardiography

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Abstract

Anomalous origin of the left coronary artery from the pulmonary trunk usually presents in early infancy with congestive cardiac failure due to ischemic myocardial dysfunction. The diagnosis can usually be made by parasternal short axis sections of the great arteries. The most characteristic finding is reversed flow in the left coronary artery demonstrated by color flow Doppler. Usually the anomalous coronary artery connects to the pulmonary trunk at one of the sinuses, but in some cases the connection may be to the more distal pulmonary arteries. A less common presentation of this condition is in late childhood or early adult life, usually with left ventricular dysfunction and mitral regurgitation. There is almost always reversed blood flow in the left coronary artery representing a left to right shunt from the right coronary artery into the pulmonary trunk.

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Authors and Affiliations

  1. Department of Public Health and Clinical Medical and Heart Center, Umea University, Umea, Sweden

    Michael Y. Henein

  2. Royal Brompton Hospital, London, UK

    Mary Sheppard, John R. Pepper & Michael Rigby

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Correspondence to Michael Y. Henein .

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    Michael Y. Henein

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Henein, M.Y., Sheppard, M., Pepper, J.R., Rigby, M. (2012). Coronary Artery Disease. In: Henein, M. (eds) Clinical Echocardiography. Springer, London. https://doi.org/10.1007/978-1-84882-521-5_7

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