A 5-month-old female baby presented to a community hospital in acute respiratory failure for which she was intubated and treated for presumed pneumonia. Chest x-ray demonstrated cardiomegaly, and a subsequent echocardiogram described mitral valve stenosis, mitral valve regurgitation, bicuspid aortic valve, perimembranous ventricular septal defect (VSD), and subaortic membrane, leading to the di...

BACKGROUND Intrapulmonary tunnel repair, called the Takeuchi technique, is a unique procedure for repairing anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). Since 1986, we have clearly defined the indication for the Takeuchi technique based on the location of the left coronary artery (LCA) orifice. METHODS AND RESULTS From 1986 to 2011, 19 consecutive patients ...

Coronary artery anomalies are often discovered incidentally during cardiac catheterization or computed tomography coronary angiography and may involve the affected coronary artery origin and its course. Coronary artery anomalies are associated with congenital heart disease. The affected coronary arteries may have an unusual high take off origin, origin from contralateral or non-coronary sinus, ...

A 3.5 months old female infant presented with acute history of loose motions, fever and irritability for 5 days. The infant had history of respiratory distress since birth that exaggerated while feeding along with sweating and increased milk intake. Patient had poor weight gain. On investigations she was found to have anomalous origin of the left coronary artery from the left pulmonary artery (...