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A Case of Adult Type of Anomalous Origin of Left Coronary Artery from Pulmonary Artery:With a referential consideration to the disease in Japan Hideki Akitsu 1,2 , Atsushi Mikuniya 1 , Masato Mikami 1 , Fumitaka Kikuchi 1,3 , Yasuhiro Fujino 1 , Akihiro Higashiyama 1 , Kogo Onodera 1 , Hisaaki Koie 4 , Michihiko Sawai 2 , Mitsuo Oikawa 2 , Yasaburo Oike 5 1The Second Department of Internal Medicine, Hirosaki University School of Medicine 2Department of Internal Medicine, Hirosaki Central Hospital 4The First Department of Surgery, Hirosaki University School of Medicine 5Reimeikyo Rehabilitation Hospital Keyword: 左冠動脈肺動脈起始症(anomalous origin of left coronary artery from pulmonary artery) , 側副血行循環(collateral circulation) , 心筋虚血(myocardial ischemia) pp.939-945
Published Date 1991/9/15
DOI https://doi.org/10.11477/mf.1404900352
  • Abstract
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A case of a 33 year-old man with anomalous origin of the left coronary artery from the pulmonary artery (ALCP) was reported with a referential consideration to the adult type of ALCP previously reported in Japan. The patient visited our hospital for further examination of cardiac murmur detected on a mass physical checkup. He was found to have a continuous murmur, the loudest in the left sternal border of 3rd intercostal space, and developed evidence of ischemia during the exercisestress test in the ECG leads of L2, L3, aVF, and V2 through V6.


Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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