Korean J Pediatr.  2010 Feb;53(2):248-252. 10.3345/kjp.2010.53.2.248.

Anomalous origin of left coronary artery arising from the right coronary cusp presenting with chest discomfort and syncope on physical exercise

• Baik R
• Kim NK
• Park HK
• Park YH
• Yoo BW
• Choi JY

• KMID: 2281375
• DOI: http://doi.org/10.3345/kjp.2010.53.2.248

Abstract

Anomalous origins of coronary arteries are a rare type of disease among children. These anomalies can be categorized into 3 types according to the anatomical relationship of the aorta and pulmonary trunks. Among these types, the interarterial type, as observed in our case, needs early diagnosis and treatment, because it can increase the risk for the patient, causing sudden cardiac death in young individuals. Although there are controversies concerning the management of anomalous origins of the left coronary artery (LCA) in children, the result can be very beneficial, if treated accurately. Three well-known methods for correction of anomalous origins of LCA are re-implantation, coronary arterial bypass grafting (CABG), and unroofing. We report on the case of a 12-year-old girl who had chest discomfort and syncope with physical exercise and was later diagnosed with an anomalous origin of LCA by transthoracic echocardiography (TTE) and heart computed tomography (CT). She underwent a corrective operation by re-implantation, CABG, and unroofing.

Keyword

Coronary Vessel Anomalies; Coronary Artery Bypass; Acute Coronary Syndrome; Syncope

MeSH Terms

Acute Coronary Syndrome
Aorta
Child
Coronary Artery Bypass
Coronary Vessel Anomalies
Coronary Vessels
Death, Sudden, Cardiac
Early Diagnosis
Echocardiography
Exercise
Heart
Humans
Syncope
Thorax
Transplants