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Answer for: January 4th 2007 Sinus rhythm. Heart rate 90. QRS axis -35 PR 130ms. QRS 90ms. QT/QTc 340/414 Left axis deviation qR pattern 1 and AVL. Deep q wave AVL Abnormal repolarisation: ST elevation in inferior leads and ST depression in lateral leads T wave inversion to V4 Imp: Anomalous origin of LCA from pulmonary artery

Comment: January 4th 2007 This ECG is typical of anomalous origin of the left coronary artery from pulmonary artery. The pattern is similar to that of anterior myocardial infarction in the adult. This child had huge coronary vessels with extensive run-off. His LCA was successfully reimplanted.

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