scholarly journals Anomalous origin of the left coronary artery from the right sinus: an interesting and very rare coronary anomaly circulation

2019 ◽  
Vol 4 ◽  
pp. 8-8 ◽  
Author(s):  
Marcos Danillo Peixoto Oliveira ◽  
Ednelson Cunha Navarro ◽  
Glenda Alves de Sá ◽  
Helio José Castello Junior ◽  
Marcelo José de Carvalho Cantarelli
Author(s):  
Balaji Arvind ◽  
Velayoudam Devagourou ◽  
Anita Saxena

Aortopulmonary window (APW) seen in association with anomalous origin of left coronary artery from pulmonary artery (ALCAPA) is extremely uncommon. When faced with this combination, ALCAPA usually goes undetected since most of the clinical and echocardiographic features of ALCAPA, including ventricular dysfunction are absent due to co-existent pulmonary hypertension. Herein we report a 5-month-old child with a large APW in whom a preoperative computed tomography angiogram facilitated the diagnosis of ALCAPA. The case is described for its rarity and the challenges faced during management. Also, it is extremely crucial that this coronary anomaly is identified and corrected during surgery, since failure to do so results in unforeseen postoperative ventricular dysfunction.


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.


1978 ◽  
Vol 4 (4) ◽  
pp. 413-417 ◽  
Author(s):  
Ronald F. Sher ◽  
Abdulmassih S. Iskandrian ◽  
Demetrios Kimbiris ◽  
Charles E. Bemis

Author(s):  
Danielle Cristina Chaves Farias ◽  
Ana Carolina Vasconcelos Moreira ◽  
Juliana Miranda Tavares ◽  
Juliana Nunes Ferreira Correia ◽  
Rebecca Santos Souza ◽  
...  

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