scholarly journals Incidental Anomalous Left Coronary Artery in a Transplanted Heart

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Sri Harsha Patlolla ◽  
Saraschandra Vallabhajosyula ◽  
Malcolm R. Bell

Anomalous coronary artery is an uncommon congenital cardiac anomaly that is often detected incidentally on coronary angiography. It has rarely been reported in the donor heart of patients who have undergone cardiac transplantation. Here, we report a case of a 72-year-old patient who received a second heart transplant and has been identified to have an anomalous left main coronary artery originating from the right coronary sinus on postoperative coronary angiography.

Author(s):  
Anil Baroopal ◽  
Rohit Mathur ◽  
Sanjeev Sanghvi ◽  
Swati Mahajan

Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital cardiac anomaly that can cause myocardial infarction, heart failure and even death in paediatric patients. Only few untreated patients survive till adulthood. Here we present the case of a 28-year-old lady with exertional dyspnoea and chest pain who was diagnosed to have ALCAPA.


2013 ◽  
Vol 24 (3) ◽  
pp. 397-402 ◽  
Author(s):  
Justin Georgekutty ◽  
Russell R. Cross ◽  
Joanna B. Rosenthal ◽  
Deneen M. Heath ◽  
Pranava Sinha ◽  
...  

AbstractIn the United States, hypertrophic cardiomyopathy and coronary artery anomalies account for the leading two causes of sudden death in athletes. We present a case of a patient with an anomalous origin of the left main from the right coronary sinus with associated gene-confirmed hypertrophic cardiomyopathy. The patient underwent surgical repair with unroofing of the intramural portion of the left main coronary artery with a good result. We also review the reported cases in the medical literature describing this uncommon association between anomalous coronary artery origin and hypertrophic cardiomyopathy.


2013 ◽  
Vol 24 (4) ◽  
pp. 732-734 ◽  
Author(s):  
Ram N. Bishnoi ◽  
Kristen N. McMillan ◽  
William R. Thompson

AbstractA left coronary artery arising from the right sinus of Valsalva is a rare congenital coronary anomaly. We report a case of a 5-year-old boy with an anomalous left coronary artery from the right sinus of Valsalva whose presenting sign was cardiac arrest. There is no reported instance of a child <9 years of age without other congenital cardiac defects having died suddenly with this coronary anomaly. The transthoracic echocardiogram demonstrated normal origins of the coronary arteries, but on autopsy, an anomalous origin of the left main coronary artery from the right sinus of Valsalva was found.


Author(s):  
Waleed Albadi ◽  
Bernard Kreitmann ◽  
François Roubertie

Abstract The anomalous origin of the left coronary artery from the pulmonary artery in the position of a non-facing coronary sinus is extremely rare. The anatomical position of the ectopic ostia will determine which is the appropriate operative approach to create a dual-coronary supply. This report describes a technique of modified extra-anatomical rerouting using autologous pericardium patch and pulmonary artery flap to create a neo-composite coronary trunk passing anterior to the right ventricular outflow tract.


2010 ◽  
Vol 140 ◽  
pp. S70
Author(s):  
Ugur Canpolat ◽  
Hamza Sunman ◽  
Hikmet Yorgun ◽  
Ahmet Hakan Ates ◽  
Aysegul Ulgen ◽  
...  

2010 ◽  
Vol 20 (S3) ◽  
pp. 44-49 ◽  
Author(s):  
Tom R. Karl ◽  
Sylvio C. J. Provenzano ◽  
Graham R. Nunn

AbstractThe most commonly reported coronary arterial malformation, in accounts of sudden deaths, is anomalous aortic origin of a coronary artery. Anomalous coronary arteries may arise from the left, right, or non-coronary sinuses of Valsalva. Importantly, although the left coronary artery from the right sinus has the worst prognosis, sudden death has been reported in all variants of origin from the various sinuses of Valsalva. This paper describes a technique that addresses all of the problems relating to anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva. This technique includes the transection of the ascending aorta and pulmonary trunk, coronary arterial enlargement with a pericardial patch, and lateral translocation of the pulmonary trunk to the left pulmonary artery. Anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva is a potentially lethal cardiac anomaly that can be corrected in all cases using this simplified surgical technique that addresses the major anatomic and physiological problems.


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