2014
DOI: 10.5935/2318-8219.20140025
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Anomalous Origin of the Circumflex Coronary Artery in the Pulmonary Artery in Young Adult

Abstract: IntroduçãoOrigem anômala das artérias coronarianas é uma condição clínica bem descrita que engloba uma série de apresentações clínicas. A morte súbita é a apresentação mais dramática, sendo mais frequentemente associada com a origem da artéria coronariana esquerda a partir da artéria pulmonar 1 . A artéria circunflexa com origem na artéria pulmonar é uma anomalia extremamente rara, a maioria dos casos ocorrendo em associação com outras alterações coronarianas e/ou cardíacas congênitas, sem descrição prévia de … Show more

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Cited by 2 publications
(3 citation statements)
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“…The most common form of successful treatment for such anomaly is surgical ligation and reimplantation of the anomalous coronary artery to the ascending aorta or bypass grafting, this usually gives satisfactory results with good outcome;8 as in our case, surgical ligation was performed and the anomalous LCX reimplanted to the ascending aorta and the patient was discharged in good health.…”
Section: Discussionmentioning
confidence: 66%
“…The most common form of successful treatment for such anomaly is surgical ligation and reimplantation of the anomalous coronary artery to the ascending aorta or bypass grafting, this usually gives satisfactory results with good outcome;8 as in our case, surgical ligation was performed and the anomalous LCX reimplanted to the ascending aorta and the patient was discharged in good health.…”
Section: Discussionmentioning
confidence: 66%
“…Anomalous origin of the LCX artery from the pulmonary artery can be considered an exceedingly rare variant of ALCAPA, with the first adult case reported in 1992 [ 3 ]. Since then, only seven additional adult cases have been described with the most common presenting symptom being exertional angina [ 4 - 10 ]. In the reports that included treatment and follow-up data, surgical ligation with coronary bypass was the most commonly performed procedure.…”
Section: Discussionmentioning
confidence: 99%
“…In the reports that included treatment and follow-up data, surgical ligation with coronary bypass was the most commonly performed procedure. Only one of the reported cases presented with a sudden cardiac arrest that was resuscitated and subsequently treated surgically with coronary bypass grafting [ 10 ]. The cardiothoracic surgery team was unavailable for comments, but we hypothesize that no bypass was performed in this case, given the rich network of coronary-coronary collaterals.…”
Section: Discussionmentioning
confidence: 99%