Correcting a rare Congenital Coronary Anomaly in an Adult-A Case Report

Anomalous origin of the right coronary artery from the pulmonary artery is an extremely rare condition with an uncertain natural history. Here, we present an otherwise healthy active duty service member who was found to have anomalous right coronary artery arising from the pulmonary artery as an inc...

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Bibliographic Details
Published inWorld journal for pediatric & congenital heart surgery Vol. 11; no. 2; p. 244
Main Authors Duggan, John, Parker, William, Reoma, Junewai L, Richey, Samuel, Huddleston, Charles
Format Journal Article
LanguageEnglish
Published United States 01.03.2020
Subjects
Coronary Angiography
Coronary Vessel Anomalies - diagnostic imaging
Coronary Vessel Anomalies - surgery
Diagnostic Tests, Routine
Humans
Incidental Findings
Male
Middle Aged
Military Personnel
Postoperative Period
Preoperative Period
Pulmonary Artery - diagnostic imaging
Pulmonary Artery - surgery
Pulmonary Embolism - diagnostic imaging
Reconstructive Surgical Procedures - methods
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Summary:Anomalous origin of the right coronary artery from the pulmonary artery is an extremely rare condition with an uncertain natural history. Here, we present an otherwise healthy active duty service member who was found to have anomalous right coronary artery arising from the pulmonary artery as an incidental discovery during a workup for possible pulmonary embolus. We describe a preoperative workup which showed dilation of the coronaries and evidence of ischemia. Operative technique for restoration of a two-vessel coronary system is described. Postoperative imaging demonstrated reduction in the coronary dilation and resolution of ischemia.
ISSN:2150-136X
DOI:10.1177/2150135119828383