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Pulmonary Hypertension Alters Natural History of Anomalous Left Coronary Artery

Division of Cardiovascular & Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences & Technology, Trivandrum, India

For reprint information contact: Soman R Krishnamanohar, MCh Tel: 91 471 244 4496 Fax: 91 471 244 6933 Email: sanjay{at}sctimst.ac.in, Division of Cardiovascular & Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala 695 011, India.

A girl who was diagnosed at 8 months old with anomalous left coronary artery from the pulmonary artery and was subsequently lost to follow-up, presented at the age of 11 years with congestive heart failure and severe mitral regurgitation with supra-systemic pulmonary artery pressure. With progressive mitral regurgitation, coronary steal is reduced by the rising pulmonary artery pressure, and patients present late with severe valvular cardiomyopathy.