Single-trunk anomalous origin of both coronary arteries from the pulmonary artery

Goldblatt, E.; Adams, Angela; Ross, Iain K.; Savage, J. P.; Morris, Lloyd

doi:10.1016/s0022-5223(19)37443-4

Cited by 15 publications

(4 citation statements)

References 12 publications

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“…55 It may be associated with other congenital malformations with only a few successful surgical repairs reported. [56][57][58][59][60][61] Early recognition and immediate initiation of prostaglandin E 1 is lifesaving by providing oxygenated blood and high pulmonary artery pressure to sustain antegrade coronary perfusion to the myocardium. 61 Timely diagnosis with echocardiography and contrast imaging with immediate reimplantation into the aorta is the only viable treatment for this rare and very fatal coronary anomaly (Figure 9).…”

Section: Anomalous Single Coronary Artery From the Pulmonary Arterymentioning

confidence: 99%

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Anomalous Origins of Coronary Arteries From the Pulmonary Artery

Karimi

Kirshbom

2015

World J Pediatr Congenit Heart Surg

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Anomalous origins of coronary arteries from the pulmonary artery are rare malformations in which the coronary arteries originate from pulmonary artery sinuses or branches. The consequences are variable although, in most cases, these anomalies lead to severe coronary hypoperfusion and ventricular dysfunction. Surgical correction is indicated once the diagnosis is established due to high early mortality associated with the disease. In nearly all cases, the anomalous artery can be excised from its pulmonary origin, mobilized, and reimplanted directly into the ascending aorta using different surgical techniques. In rare circumstances, technical modifications must be used to restore a normal dual coronary perfusion. The emphasis of this article is to provide a collective review of surgical options published in the literature.

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Section: Anomalous Single Coronary Artery From the Pulmonary Arterymentioning

confidence: 99%

“…Anomalous origin of both the left and right coronary arteries is extremely rare and nearly uniformly fatal. 2 Various surgical techniques have been used to create a dual coronary artery system in all these variants. Direct aortic reimplantation of the anomalous artery has progressively evolved as the procedure of choice.…”

Section: Introductionmentioning

confidence: 99%

Anomalous Origins of Coronary Arteries From the Pulmonary Artery

Karimi

Kirshbom

2015

World J Pediatr Congenit Heart Surg

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“…The coronary arteries have been found to originate from a single ostium with a single trunk or from two separate ostia. 5,6 In these cases, symptoms appear within a few days of birth, and death follows within 2 weeks. 7 Longer survival has been associated with additional cardiovascular anomalies that resulted in increased pulmonary arterial perfusion pressure, oxygen saturation, or both.…”

mentioning

confidence: 99%

“…An anomalous origin of both coronary arteries arising from the pulmonary artery is an extremely rare condition with unknown prevalence. The coronary arteries have been found to originate from a single ostium with a single trunk or from two separate ostia 5 , 6 . In these cases, symptoms appear within a few days of birth, and death follows within 2 weeks 7 .…”

mentioning

confidence: 99%