Origin of left coronary artery from right pulmonary artery co-existing with coarctation of the aorta

AbstractIn this study, we describe a very rare case of anomalous left coronary artery arising from the right pulmonary artery in association with coarctation of the aorta. A 3-month-old boy presented with refractory congestive heart failure since 20 days after birth. The initial echocardiography suggested the diagnosis of left coronary artery-to-right pulmonary artery fistula associated with coarctation; however, selective coronary angiography demonstrated the rare anomaly of the left coronary artery arising from the right pulmonary artery. Subsequently, he underwent successful transcatheter balloon angioplasty for aortic coarctation and surgical repair of left coronary artery re-implantation.

Download Full-text

Early Detection of Anomalous Origin of Left Coronary Artery from the Right Pulmonary Artery After Successful Repair of Critical Coarctation of the Aorta

Pediatric Cardiology ◽

10.1007/s00246-009-9595-y ◽

2009 ◽

Vol 31 (2) ◽

pp. 294-296 ◽

Cited By ~ 3

Author(s):

Levent Celik ◽

Vera Becker ◽

Dieter Hammel ◽

Jan-Hendrik Nürnberg

Keyword(s):

Coronary Artery ◽

Early Detection ◽

Pulmonary Artery ◽

Left Coronary Artery ◽

Coarctation Of The Aorta ◽

Anomalous Origin ◽

Right Pulmonary Artery ◽

The Right ◽

Successful Repair

Download Full-text

Anomalous origin of the left coronary artery from the right pulmonary artery in a univentricular heart

Cardiology in the Young ◽

10.1017/s1047951117001317 ◽

2017 ◽

Vol 27 (9) ◽

pp. 1853-1856

Author(s):

Ziyad M. Binsalamah ◽

Diego A. Lara ◽

Emmett D. McKenzie

Keyword(s):

Coronary Artery ◽

Pulmonary Artery ◽

Left Coronary Artery ◽

Coarctation Of The Aorta ◽

Double Outlet Right Ventricle ◽

Adverse Outcomes ◽

Anomalous Origin ◽

Univentricular Heart ◽

Right Pulmonary Artery ◽

The Right

AbstractAnomalous origin of the left coronary artery from the right pulmonary artery in single ventricles is a very rare congenital anomaly. Failure to recognise it preoperatively may lead to adverse outcomes, including death. We report the case of a neonate with a univentricular heart in the form of a double-outlet right ventricle, mitral atresia with discrete coarctation of the aorta, and an incidental intraoperative finding of an anomalous origin of the left coronary artery from the right pulmonary artery. The patient underwent a successful repair with an uneventful postoperative course.

Download Full-text

Origin of the Left Coronary Artery from the Right Pulmonary Artery: A Report of Successful Surgery in a 3-Month-Old Child

The Annals of Thoracic Surgery ◽

10.1016/s0003-4975(10)62708-7 ◽

1986 ◽

Vol 41 (4) ◽

pp. 446-448 ◽

Cited By ~ 12

Author(s):

J. R.L. Hamilton ◽

H.C. Mulholland ◽

H. O.J. O'Kane

Keyword(s):

Coronary Artery ◽

Pulmonary Artery ◽

Left Coronary Artery ◽

Right Pulmonary Artery ◽

The Right

Download Full-text

Intramural Aortic Course Should Always Be Considered for Anomalous Origin of the Left Coronary Artery From the Right Pulmonary Artery

World Journal for Pediatric and Congenital Heart Surgery ◽

10.1177/2150135118799645 ◽

2019 ◽

Vol 10 (4) ◽

pp. 508-512

Author(s):

Vishal Agrawal ◽

Nikunj Vaidhya ◽

Mrinal Patel ◽

Amit Mishra ◽

Dinesh Patel

Keyword(s):

Coronary Artery ◽

Pulmonary Artery ◽

Left Coronary Artery ◽

Anomalous Origin ◽

Preoperative Imaging ◽

Rare Entity ◽

Right Pulmonary Artery ◽

The Right

Anomalous origin of the left coronary artery (LCA) from the right pulmonary artery (ALCARPA) is an extremely rare subset of an already rare entity, anomalous origin of the LCA from the pulmonary artery. Whenever it is diagnosed preoperatively, one should be extremely vigilant about the potential intramural course of the descending part of the LCA in the aorta. Preoperative imaging frequently fails to delineate this intramural course. We report our experience with one such case where we had accidentally injured the LCA during dissection from the right pulmonary artery. Although it was successfully managed, it reinforces our aforementioned point concerning the importance of vigilance in seeking to identify intramurality as a component of this anomaly of coronary artery origin.

Download Full-text