We present the case of transient left ventricular dysfunction secondary to impaired left coronary artery filling after aortopulmonary window repair, caused by intraoperative diagnosis of anomalous left coronary artery from pulmonary artery. Immediate recognition and repair allowed for uneventful recovery of the patient.
TalwarSAgarwalPChoudharySK, et al.Aortopulmonary window: morphology, diagnosis and long-term results. J Card Surg. 2017;32(2):138-144.
3.
BeasleyGSStephensEHBackerCLJoongA. Anomalous left coronary artery from the pulmonary artery (ALCAPA): a systematic review and historical perspective. Curr Pediatr Rep. 2019;7(2):45-52.
4.
KubotaHEndoHIshiiH, et al.Adult ALCAPA: from histological picture to clinical features. J Cardiothorac Surg. 2020;15(1):14.
5.
AlsoufiBSchlosserBMcCrackenC, et al.Current outcomes of surgical management of aortopulmonary window and associated cardiac lesions. Ann Thorac Surg. 2016;102(2):608-614.
6.
AngeliniPVelascoJA. Coronary anomalies: incidence, pathophysiology and clinical relevance. Circulation. 2002;105(20):2449-2454.
7.
ShabestariAAAkhlaghpoorSTayebivaljoziRFattahi MasrourF. Prevalence of congenital coronary artery anomalies and variants in 2697 consecutive patients using 64-detector row coronary CTAngiography. Iran J Radiol. 2012;9(3):111-121.
8.
AlhadlaqADhillonSHancock-FriesenCLHussainA. A hidden culprit for ventricular dysfunction in aortopulmonary window repair: anomalous origin of left coronary artery. Case report and review of the literature. J Thorac Cardiovasc Surg. 2016;152(6):e123-e126.