Anomalous origin of left coronary artery from pulmonary artery: A rare cause of myocardial infarction in children

• Main Author: Amer A Lardhi
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2010-01-01
• Series: Journal of Family and Community Medicine
• Subjects: Anomalous left coronary artery arise from the pulmonary artery; anomalous origin of left coronary artery from pulmonary artery; Bland-White-Garland syndrome
• Online Access: http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2010;volume=17;issue=3;spage=113;epage=116;aulast=Lardhi

Anomalous origin of the left coronary artery from pulmonary artery is a rare congenital heart anomaly. It presents predominantly in infancy with clinical features of myocardial ischemia and/or congestive heart failure. It poses a clinical diagnostic challenge to family physicians and pediatricians as it may present in a way similar to common pediatric conditions such as infantile colic, food intolerance, gastroesophageal reflux, and bronchiolitis. Awareness of this condition is essential for prompt diagnosis and referral to a cardiac center for early surgical intervention and improved prognosis. This article reviews this rare but serious disease in children.