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Misleading echocardiographic diagnosis of anomalous origin of the right coronary artery from the pulmonary artery

Published online by Cambridge University Press:  19 August 2008

G. Michielon*
Affiliation:
From the Department of Cardiac SurgeryUniversity of Padova Medical School, Italy
G. Stellin
Affiliation:
From the Department of Cardiac SurgeryUniversity of Padova Medical School, Italy
O. Milanesi
Affiliation:
From the Department of PediatricsUniversity of Padova Medical School, Italy
*
Dr. G. Michielon, Department of Cardiac Surgery, University of Padova, Via Giustiniani 2, 35128 Padova, Italy

Abstract

We report on a case of a newborn with echocardiographic diagnosis of anomalous origin of the right coronary artery from the main pulmonary artery. Intraoperative inspection demonstrated a proximal anomalous course of the right coronary artery but a normal origin from the right sinus of Vansalva of the Aorta. We suggest a complete investigation, including coronary angiography, when isolated and rare congenitaj malformations of the coronary arteries are suspected.

Type
Brief-Reports
Copyright
Copyright © Cambridge University Press 1997

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References

1.Donaldson, R.M., Raphael, M.J., Yacoub, M.HRoss, D.N.. Hemodynamically significant anomaly of the coronary arteries: surgical aspects. Thorac Cardiovasc Surg 1982; 30: 712.CrossRefGoogle ScholarPubMed
2.Ogden, J.A..Congenital anomalies of the coronary arteries.. Am J Cardiol 1970; 25: 474479.CrossRefGoogle ScholarPubMed
3.Lerberg, D.B., Ogden, J.A., Zuberbuhler, J.R.Bahnson, H.T.. Anomalous origin of the right coronary artery from the pulmonary artery. Ann Thorac Surg 1979; 27: 8794.CrossRefGoogle ScholarPubMed
4.Brooks, S.J..Two cases of abnormal coronary artery of the heart arising from the pulmonary artery.. J Anat Physiol 1886; 20: 2630.Google Scholar
5.Burroughs, J.T., Schmutzer, K.J., Linder, . Anomalous origin of the right coronary artery with aorto-pulmonary window and ventricular septal defect. J Cardiovasc Surg 1962; 3: 142148.Google Scholar
6.Edwards, J.E.: Functional pathology of congenital cardiac disease. Pediat Clin North Am 1954; 1: 1349.CrossRefGoogle Scholar
7.Pasquini, L., Parness, I.A., Colan, S.D., Wernovsky, G., Mayer, J.E., Sanders, S.P.. Diagnosis of intramural coronary artery in transposition of the great arteries using two-dimensional echocardiography. Circulation 1993; 88: 11361141CrossRefGoogle ScholarPubMed
8.Karr, SS, Parness, IA, Spevak, PJ, van der Velde, ME, Colan, SD, Sanders, SP. Diagnosis of anomalous left coronary artery by Doppler color flow mapping. Distinction from other causes of dilated cardiomyopathy. J Am Coll Cardiol 1992; 19: 12711275.CrossRefGoogle ScholarPubMed
9.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