Surgical repair of naturally palliated anomalous origin of the left coronary artery from the right pulmonary artery

2001 ◽  
Vol 11 (5) ◽  
pp. 568-570 ◽  
Author(s):  
Alessandro Giardini ◽  
Gaetano Gargiulo ◽  
Fernando M. Picchio

Anomalous origin of the left coronary artery from the pulmonary arteries is a rare and life-threatening defect, usually needing prompt surgical correction during infancy. We describe the case of a young asymptomatic patient with this defect who underwent surgical reimplantation despite the absence of signs of myocardial ischemia, due to the presence of proximal stenosis of the anomalous coronary artery.

2019 ◽  
Vol 10 (4) ◽  
pp. 508-512
Author(s):  
Vishal Agrawal ◽  
Nikunj Vaidhya ◽  
Mrinal Patel ◽  
Amit Mishra ◽  
Dinesh Patel

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.


2020 ◽  
Vol 30 (10) ◽  
pp. 1510-1511
Author(s):  
Rachel Rosenthal ◽  
Hannah Obasi ◽  
Daniel D. Im

AbstractMyocarditis and coronary artery anomalies are both potentially life-threatening aetiologies of cardiac chest pain in children. We present a case of a young man presenting with non-exertional chest pain and subsequently found to have an anomalous origin of the right coronary artery from the left coronary sinus with an interarterial course in addition to a diagnosis of myocarditis. The patient subsequently was able to undergo surgical correction of his anomalous coronary to mitigate the risk of sudden cardiac death.


2015 ◽  
Vol 26 (4) ◽  
pp. 802-804
Author(s):  
Xuecun Liang ◽  
Lin Wu

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.


1993 ◽  
Vol 8 (1) ◽  
pp. 52-56 ◽  
Author(s):  
Hisaji Igarashi ◽  
Junichiro Fukushige ◽  
Mitsuru Fukazawa ◽  
Takami Takeuchi ◽  
Kohji Ueda ◽  
...  

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