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Anomalous origin of the right coronary artery from the pulmonary trunk, echocardiographic and colour Doppler features

Published online by Cambridge University Press:  19 August 2008

Amanda J. Barlow
Affiliation:
Cardiology and Cardiothoracic Surgery, British Columbia Children's Hospital, Vancouver, British Columbia, Canada.
George G.S. Sandor*
Affiliation:
Cardiology and Cardiothoracic Surgery, British Columbia Children's Hospital, Vancouver, British Columbia, Canada.
Jacques G. Le Blanc
Affiliation:
Cardiology and Cardiothoracic Surgery, British Columbia Children's Hospital, Vancouver, British Columbia, Canada.
*
Dr. George G. S. Sandor, Department of Cardiology, British Columbia Children's Hospital, 4480 Oak Street, Vancouver, B CV6H 3V4Canada. Tel: (604) 875-2295, Fax: (604) 875-3463

Abstract

Anomalous origin of the right coronary artery from the pulmonary trunk is a rare congenital anomaly. Diagnosis is usually made at autopsy or incidentally in asymptomatic adults, but cardiopul-monary arrest and sudden death have been reported. The angiographic findings have been well described but the echocardiographic findings are less well documented.

This report describes the echo and colour Doppler findings in a 3-year-old child with an anomalous right coronary artery arising from the pulmonary trunk, as well as observations on myocardial perfusion demonstrated by nuclear angiography.

Type
Brief-Reports
Copyright
Copyright © Cambridge University Press 1997

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References

1.Bregman, D, Brennan, FJ, Singer, A, et al. Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery. J of Thoracic and Cardiovasc Surgery 1976; 72(4): 626630.CrossRefGoogle ScholarPubMed
2.Lerberg, DB, Ogden, JA, Zuberbuhler, JR, Bahnson, HT. Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery.: Annals of Thorac Surg 1979; 1:8794.CrossRefGoogle Scholar
3.Shah, RM, Nanda, NC, Hsiung, Mc, Moos, S, Roitman, D, Identification of Anomalous Origin of the Right Coronary Artery from the Pulmonary Trunk by Colour Flow Mapping. Am J Cardiol 1986; 57: 366367.CrossRefGoogle Scholar
4.Worsham, C, Sanders, SP, Burger, BM. Origin of the Right Coronary Artery from the Pulmonary trunk: Diagnosis by Two–Dimensional Echocardiography. Am J Cardiol 1985; 55:232233.CrossRefGoogle ScholarPubMed
5.Wald, S, Stonecipher, K, Baldwin, BJ, Nutter, DO. Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery. Am J Cardiol 1971; 27: 677681.CrossRefGoogle ScholarPubMed
6.Cronk, ES, Sinclair, JG, Rigdon, RH. An Anomalous Coronary Artery Arising from the Pulmonary Artery. Am Heart J 1962; 42: 906907.CrossRefGoogle Scholar
7.Bermudez, GA, Abdelnur, R, Midell, AI, Replogle, R. Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery with Large Left to Right Shunt (Anomalous Right Coronary Artery). Catheterization and Cardiovascular Diagnosis 1979; 5:371384.CrossRefGoogle ScholarPubMed
8.Coe, JY, Radley-Smith, R, Yacoub, M. Clinical and Haemodynamic Significance of Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery. Thorac Cardiovasc. Surgeon 1982; 30:8487.CrossRefGoogle ScholarPubMed
9.Tingelstad, JB, Lower, RR, Eldrege, WJ. Anomalous Origin of the Right Coronary Artery from the Main Pulmonary Artery. Am J Cardiol 1972; 30: 670673.CrossRefGoogle ScholarPubMed
10.Anomalous Connection of the Right Coronary Artery to the Pulmonary Trunk in Kirklin, JW and Barrett, BGBoyes: Cardiac Surgery. 2nd Ed.Churchill Livingstone, Edinburgh 1993.Google Scholar