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Echocardiographic assessment of anomalous origin of the left coronary artery from the pulmonary artery

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Abstract

Transthoracic echocardiography of a 4-month-old boy with heart failure revealed poor left ventricular contractility with severe mitral regurgitation. Deformation analysis revealed significantly decreased circumferential strain in the anterior and anteroseptal segments. Furthermore, post-systolic shortening was evident in the anterior and lateral segments. The pulmonary arterial short-axis view showed that the left coronary artery originated from the pulmonary artery and color Doppler flow mapping showed retrograde flow in the left coronary artery. These findings were quite helpful for concluding the anomalous origin of the left coronary artery from the pulmonary artery.

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Conflict of interest

Yasunobu Hayabuchi, Miho Sakata, Shoji Kagami, Miki Inoue, and Kazuhiro Mori declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Pediatrics, University of Tokushima, Kuramoto-cho-3, Tokushima, 770-8503, Japan

    Yasunobu Hayabuchi, Miho Sakata & Shoji Kagami

  2. Department of Pediatrics, Tokushima Prefectural Central Hospital, Tokushima, 770-0042, Japan

    Miki Inoue & Kazuhiro Mori

Authors
  1. Yasunobu Hayabuchi
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  2. Miho Sakata
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  3. Miki Inoue
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  4. Kazuhiro Mori
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  5. Shoji Kagami
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Corresponding author

Correspondence to Yasunobu Hayabuchi.

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Hayabuchi, Y., Sakata, M., Inoue, M. et al. Echocardiographic assessment of anomalous origin of the left coronary artery from the pulmonary artery. J Echocardiogr 12, 60–61 (2014). https://doi.org/10.1007/s12574-014-0207-3

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  • DOI: https://doi.org/10.1007/s12574-014-0207-3

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