Case Report
Copyright ©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Aug 26, 2014; 6(8): 874-877
Published online Aug 26, 2014. doi: 10.4330/wjc.v6.i8.874
Late intervention in an asymptomatic pediatric patient with anomalous left coronary artery
John C Lam, Michael Giuffre, Kimberley A Myers
John C Lam, Michael Giuffre, Kimberley A Myers, Department of Pediatrics, University of Calgary, Alberta Children’s Hospital, Calgary, Alberta T3B 6A8, Canada
Author contributions: Giuffre M and Myers KA attended the patient; all authors prepared the manuscript and figures and read and approved the final manuscript.
Correspondence to: Michael Giuffre, MD, MBA, FRCPC, FACC, Clinical Professor, Department of Pediatric Cardiology, University of Calgary, Alberta Children’s Hospital, 2888 Shaganappi Trail NW, Calgary, Alberta T3B 6A8, Canada. michael.giuffre@albertahealthservices.ca
Telephone: +1-403-2552737 Fax: +1-403-2556709
Received: March 28, 2014
Revised: April 30, 2014
Accepted: June 10, 2014
Published online: August 26, 2014
Core Tip

Core tip: This case report presents the rare case of a late diagnosis of anomalous left coronary artery from the pulmonary artery and the associated challenge with determining the need for surgical revascularization in the absence of symptomatology and definitive literature. Late surgical intervention undertaken in this patient may reverse ongoing myocardial dysfunction and prevent permanent left ventricular damage.