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Coronaries from the Brachiocephalic Artery: Anomalous Origin of the Coronary Arteries in a Case of Situs Inversus and Truncus Arteriosus
Congenital anomalies of the coronary arteries are rare. In this article, we reported a case of 6-month-old female who was brought with breathing difficulty and poor weight gain. Echocardiography was done which showed dextrocardia and truncus arteriosus. A cardiac computed tomography confirmed these findings and additionally revealed that the coronary arteries originated from a common vascular channel from the brachiocephalic artery. This is a very rare occurrence. To our knowledge, only a few such cases have been reported in the literature.
All the figures used in this article were sourced from the Department of Radiology, Bai Jerbai Hospital for Children, Wadia Hospital, Parel, Mumbai.
Article published online:
31 January 2023
© 2023. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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- 1 Angelini P. Coronary artery anomalies: an entity in search of an identity. Circulation 2007; 115 (10) 1296-1305
- 2 Kim SY, Seo JB, Do KH. et al. Coronary artery anomalies: classification and ECG-gated multi-detector row CT findings with angiographic correlation. Radiographics 2006; 26 (02) 317-333 , discussion 333–334
- 3 Villa AD, Sammut E, Nair A, Rajani R, Bonamini R, Chiribiri A. Coronary artery anomalies overview: the normal and the abnormal. World J Radiol 2016; 8 (06) 537-555
- 4 Yuan SM. Anomalous origin of coronary artery: taxonomy and clinical implication. Rev Bras Cir Cardiovasc 2014; 29 (04) 622-629
- 5 Dodd JD, Ferencik M, Liberthson RR. et al. Congenital anomalies of coronary artery origin in adults: 64-MDCT appearance. AJR Am J Roentgenol 2007; 188 (02) W138-46
- 6 Datta J, White CS, Gilkeson RC. et al. Anomalous coronary arteries in adults: depiction at multi-detector row CT angiography. Radiology 2005; 235 (03) 812-818
- 7 Pelliccia A. Congenital coronary artery anomalies in young patients: new perspectives for timely identification. J Am Coll Cardiol 2001; 37 (02) 598-600
- 8 Davis JA, Cecchin F, Jones TK, Portman MA. Major coronary artery anomalies in a pediatric population: incidence and clinical importance. J Amer Coll Cardiol 2001; 37 (02) 593-597
- 9 Davis JS, Lie JT. Anomalous origin of a single coronary artery from the innominate artery. Angiology 1977; 28 (11) 775-778
- 10 Li W, Li J, Chen X. A rare case of congenital heart disease: anomalous origin of coronary artery from innominate artery with coronary fistula and truncus arteriosus. Cardiol Young 2021; 31 (08) 1345-1347
- 11 Liu F, Huang G, Zhang J. Anomalous origin of a coronary artery from the right branchiocephalic trunk associated with complex congenital heart disease. Pediatr Cardiol 2010; 31 (01) 163-165