Anomalous Origin of the Circumflex Coronary Artery From the Right Pulmonary Artery Associated With Anomalous Aortic Origin of the Right Coronary Artery: A Case Report of Surgical Treatment

2020 ◽  
Vol 11 (4) ◽  
pp. 501-503
Author(s):  
Roman Sekelyk ◽  
Dmytro Kozhokar ◽  
Andrii Kurkevych ◽  
Oleksandra Motrechko ◽  
Illya Yemets

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.

2014 ◽  
Vol 10 (3) ◽  
pp. 111-114 ◽  
Author(s):  
Keisuke Nakabayashi ◽  
Hisayuki Okada ◽  
Yuji Iwanami ◽  
Ryo Sugiura ◽  
Toshiaki Oka

1981 ◽  
Vol 281 (3) ◽  
pp. 152-156 ◽  
Author(s):  
Joseph Salomon ◽  
Romulo Baltazar ◽  
Morton M. Mower ◽  
Stanford Goldman

Angiology ◽  
1994 ◽  
Vol 45 (4) ◽  
pp. 325-328 ◽  
Author(s):  
Carl Gustav Dahlström ◽  
Christer Hellekant ◽  
Bengt W. Johansson ◽  
Ulf Nyman

PEDIATRICS ◽  
1958 ◽  
Vol 22 (5) ◽  
pp. 909-909

The majority of infants born with an anomalous origin of the left coronary artery from the pulmonary artery die within the first year of life. This malformation produces a clinical picture of episodes of sweating, cyanosis and pallor usually following feeding. Associated findings are gross cardiac enlargement and electrocardiographic evidence of myocardial ischemia. Perfusion studies at necropsy indicate that extensive anastomoses allow free passage of blood from the normal right coronary artery to the left. There now appears evidence that flow through the anomalous left coronary artery is into the pulmonary artery rather than away from it. Thus although there is oxygenated blood in the left coronary artery, it does not reach the myocardium but passes instead to the low-resistance circuit of the pulmonary artery. Ligation of the aberrant vessel at its origin would prevent retrograde flow and allow perfusion of the left ventricle by blood supplied through the anastomoses from the right coronary artery. This would in effect convert the anomaly into that of a single coronary artery arising from the aorta, which situation is usually compatible with a normal life expectancy. Preliminary experience with this suggested surgical treatment appears encouraging in one of the cases reported.


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