Anomalous origin of the right coronary artery from the left sinus of Valsalva in association with a coronary arterial fistula.

A N ASYMPTOMATIC 2-MONTH-OLD BOY WAS referred because of a cardiac murmur. Chest radiography revealed borderline cardiomegaly. An electrocardiogram showed left ventricular hypertrophy and myocardial ischaemic changes, including ST depression in V1-3 and QRS-T discordance. His creatine kinase-MB was 17.6 ng/mL, and cardiac troponin-I 0.23 ng/mL… CONTINUE READING