Anomalous origin of circumflex coronary artery from the right pulmonary artery associated with subaortic stenosis and coarctation of the aorta

We present a patient with the extremely rare coexistence of two distinct coronary artery malformations: anomalous aortic origin of the right coronary artery from the left aortic sinus with intramural course and anomalous origin of the circumflex coronary artery from the right pulmonary artery. Surgical reimplantation of the anomalous left circumflex coronary artery to the aorta and unroofing of the intramural portion of the anomalous right coronary artery were performed.

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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.

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Circumflex coronary artery originating from the right pulmonary artery in adult

Asian Cardiovascular and Thoracic Annals ◽

10.1177/0218492317717419 ◽

2017 ◽

Vol 25 (7-8) ◽

pp. 528-530 ◽

Cited By ~ 2

Author(s):

Ahmet Daylan ◽

Serkan Ertugay ◽

Anıl Ziya Apaydın ◽

Emrah Oğuz

Keyword(s):

Coronary Artery ◽

Aortic Valve ◽

Myocardial Ischemia ◽

Pulmonary Artery ◽

Valve Replacement ◽

Anomalous Origin ◽

Uneventful Recovery ◽

Circumflex Coronary Artery ◽

Right Pulmonary Artery ◽

The Right

Anomalous origin of the circumflex coronary artery from the right pulmonary artery is rare, and symptoms are related to the collateralization and amount of myocardium that it supplies. A 50-year-old woman with severe bicuspid aortic valve stenosis had the diagnosis of anomalous origin of the circumflex coronary artery from the right pulmonary artery before valve replacement. Ligation and division of the circumflex coronary artery was performed. Myocardial ischemia was not observed. The patient was discharged after an uneventful recovery.

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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.

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