A 22-month-old boy was referred to pediatric cardiology for evaluation of a heart murmur. He was asymptomatic except for occasional wheezing with activity. On evaluation, he was found to have both systolic and diastolic murmurs. Electrocardiography demonstrated possible left ventricular hypertrophy, with no evidence of ST-segment abnormalities. Echocardiography and cardiac catheterization showed an anomalous origin of the patient's right coronary artery from his left ventricle, just inferior to his aortic valve annulus.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2822055 | PMC |
| http://dx.doi.org/10.1016/j.echo.2009.08.012 | DOI Listing |
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