Arquivos Brasileiros de Cardiologia
On-line version ISSN 1678-4170
JACOB, José Luiz Balthazar and SALIS, Fernando Vilela. Anomalous origin of the left coronary artery from the pulmonary trunk in a 45-year-old woman. Arq. Bras. Cardiol. [online]. 2003, vol.81, n.2, pp. 199-201. ISSN 1678-4170. http://dx.doi.org/10.1590/S0066-782X2003001000008.
We report a rare case of anomalous origin of the left coronary artery from the pulmonary trunk in a 45-year-old woman. The approach and technique used for selective catheterization of an anomalous left coronary artery arising from the pulmonary trunk are described. Six years after diagnosis, echocardiography showed left ventricular disfunction, and surgical treatment was indicated again. The origin of the left coronary artery from the pulmonary trunk was closed, and the postoperative period was uneventful, with recovery of left ventricular function and disappearance of ischemic features on stress myocardial perfusion imaging with 99m Tc-sestamibi, performed 4 weeks after surgery.