Anomalous origin of coronary arteries from pulmonary artery in adults: a case series
Open Access
- 12 March 2020
- journal article
- research article
- Published by Oxford University Press (OUP) in European Heart Journal - Case Reports
- Vol. 4 (2), 1-5
- https://doi.org/10.1093/ehjcr/ytaa047
Abstract
Anomalous origin of a coronary artery from the pulmonary trunk is a small group of rare congenital anomalies present in up to 1% of the population. These patients, in absence of an adequate collateral supply, may present with congestive heart failure secondary to ischaemia, arrhythmia, or sudden cardiac death in up to 90% of cases within the first months of life. We present four cases diagnosed in adulthood over 10 years in two high-volume centres. The first patient presented with dyspnoea and orthopnoea. The second with chest pain and episodes of non-sustained ventricular tachycardia. The third patient presented during her third pregnancy with chest pain, palpitations, and arrhythmia (non-sustained ventricular tachycardia). The fourth patient presented with sudden cardiac death. In all cases with anomalous origin of coronary arteries, it is recommendable to consider surgical correction to avoid the progression of ischaemia, congestive heart failure, arrhythmia, and sudden death.Keywords
This publication has 10 references indexed in Scilit:
- 2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: Executive SummaryJournal of the American College of Cardiology, 2018
- Anomalous left coronary artery from the pulmonary artery (ALCAPA) diagnosed in adulthood: Varied clinical presentation, therapeutic approach and outcomeInternational Journal of Cardiology, 2018
- Anomalous Origin of a Right Coronary Artery from Pulmonary ArteryCase Reports in Cardiology, 2018
- Surgical Repair for Anomalous Origin of the Right Coronary Artery from the Pulmonary ArteryKorean Circulation Journal, 2017
- Anomalous origin of the right coronary artery from the pulmonary trunkBMJ Case Reports, 2016
- Surgical strategies for anomalous origin of coronary artery from pulmonary artery in adultsThe Journal of Thoracic and Cardiovascular Surgery, 2014
- Anomalous origin of the left coronary artery from the pulmonary artery presenting as dilated cardiomyopathy: a case reportJournal of Medical Case Reports, 2014
- Successful Surgical Treatment of a Septuagenarian with Anomalous Right Coronary Artery from the Pulmonary Artery with an Eleven Year Follow-Up : Case Report and Review of LiteratureSultan Qaboos University Medical Journal, 2013
- Mitral Valve Arcade With Concomitant Anomalous Left Coronary Artery From the Pulmonary ArteryThe Annals of Thoracic Surgery, 2011
- ALCAPA Syndrome: Not Just a Pediatric DiseaseRadioGraphics, 2009