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Eur J Cardiothorac Surg 1999;15:539-541
© 1999 Elsevier Science NL

Case report

Malignant ventricular arrhythmias revealing anomalous origin of the left coronary artery from the pulmonary artery in two adults

^a Department of Cardiovascular Surgery, Arnaud de Villeneuve University Hospital, Montpellier, France
^b Department of Cardiology, Arnaud de Villeneuve University Hospital, 34295 Montpellier Cedex 5, France

Received 14 September 1998; received in revised form 28 December 1998; accepted 12 January 1999.

Corresponding author. Tel.: +33-4-6733-6272; fax: +33-4-6733-6275; e-mail: pa-chaptal@chu-montpellier.fr

We report two cases of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), revealed by malignant ventricular arrythmias in adult patients. A two coronary system was re-established in both patients, and cryotherapy was performed on one of the patients who, in addition, presented ventricular aneurysm triggering ventricular tachycardia.

Key Words: Anomalous origin of the left coronary artery from the pulmonary artery • Ventricular tachycardia • Ventricular fibrillation • Cryotherapy