Anomalous origin of the right coronary artery from the pulmonary trunk, echocardiographic and colour Doppler features

1997 ◽  
Vol 7 (4) ◽  
pp. 438-441
Author(s):  
Amanda J. Barlow ◽  
George G.S. Sandor ◽  
Jacques G. Le Blanc

AbstractAnomalous origin of the right coronary artery from the pulmonary trunk is a rare congenital anomaly. Diagnosis is usually made at autopsy or incidentally in asymptomatic adults, but cardiopul-monary arrest and sudden death have been reported. The angiographic findings have been well described but the echocardiographic findings are less well documented.This report describes the echo and colour Doppler findings in a 3-year-old child with an anomalous right coronary artery arising from the pulmonary trunk, as well as observations on myocardial perfusion demonstrated by nuclear angiography.

1998 ◽  
Vol 8 (2) ◽  
pp. 262-264
Author(s):  
Fátima Ferreira Pinto ◽  
Sashicanta Kaku ◽  
José Sousa Ramos

SummaryWe report a case of anomalous origin of the coronary artery from the pulmonary trunk. The lesion was discovered in an eleven-month-old asymptomatic boy because of a continuous murmur.


2009 ◽  
Vol 19 (5) ◽  
pp. 474-481 ◽  
Author(s):  
Kuang-Jen Chien ◽  
Ta-Cheng Huang ◽  
Kai-Sheng Hsieh ◽  
Chu-Chuan Lin ◽  
Ken-Pen Weng ◽  
...  

AbstractBackgroundAnomalous origin of the left coronary artery from the pulmonary trunk is a rare congenital heart defect. Cardiac catheterization remains the standard means of diagnosis. Our purpose in this study is to emphasize the importance of assessing the electrocardiogram when making the diagnosis, in addition to taking note of transthoracic echocardiographic findings. We also analyzed the sensitivity of each parameter under investigation.Methods and ResultsBetween June, 1999, and March, 2007, we studied 9 patients, 6 males and 3 females, with a mean age of 3.02 years, in whom anomalous origin of the left coronary artery from the pulmonary trunk was suspected subsequent to transthoracic echocardiographic examination. We examined their electrocardiograms, and undertook cardiac catheterization. In all patients, the transthoracic echocardiogram had shown retrograde flow into the pulmonary trunk, with the left coronary artery arising from pulmonary trunk, along with a dilated right coronary artery, or intercoronary collateral vessels. In 8 patients, the electrocardiogram showed deep Q wave in leads I and aVL, with depression of the ST segments over lead V4 through 6, or inversion of the T waves in leads I, II, and aVL. In the remaining patient, the electrocardiogram showed incomplete right bundle branch block. Later, cardiac catheterization confirmed the diagnosis in 8 patients, but the other patient was shown to have the right coronary artery arising from the pulmonary trunk.ConclusionsBy combining transthoracic echocardiography with study of the electrocardiogram, it is possible to provide accurate evaluation of anomalous origin of the left coronary artery from the pulmonary trunk.


2003 ◽  
Vol 13 (1) ◽  
pp. 95-97
Author(s):  
Bhava R. J. Kannan ◽  
Sivadasan R. Anil ◽  
R. Krishna Kumar

We report a rare variant of anomalous origin of the left coronary artery from the non-adjacent sinus of the pulmonary trunk. The patient also had the right coronary artery arising from the non-facing sinus of the aorta.


2016 ◽  
Vol 8 (6) ◽  
pp. 745-749 ◽  
Author(s):  
Jaydip Ramani ◽  
Chandrasekaran Ananthanarayanan ◽  
Jigisha Pujara ◽  
Bhavesh Thakkar ◽  
Imelda Jain ◽  
...  

Anomalous origin of the right coronary artery from the main pulmonary artery (anomalous right coronary artery from pulmonary artery; ARCAPA) is a rare congenital anomaly. Here, we present an unusual case of anomalous right coronary artery from the main pulmonary artery with proximal intramural course.


1983 ◽  
Vol 51 (3) ◽  
pp. 610-612 ◽  
Author(s):  
Gary S. Mintz ◽  
Abdulmassih S. Iskandrian ◽  
Charles E. Bemis ◽  
Eldred D. Mundth ◽  
John S. Owens

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