ABERRANT CORONARY ARTERIES: EXPERIENCES IN DIAGNOSIS WITH REPORT OF THREE CASES

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Abstract
Three cases of anomalous origin of the left coronary artery from the pulmonary are described. In one case the right coronary artery also originates from the pulmonary artery. The malformation is rare, but is often overlooked. A clinical diagnosis can be made by ecg study. Roentgenogram as part of routine post-natal care is recommended with ecg in all cases showing cardiac enlargement. The majority of cases succumb in infancy. Approximately 20 cases are found in adults. Surgical therapy such as anastomosis between aorta and pulmonary artery in order to bring more oxygenated blood to the left coronary artery can be tried.