Thorac Cardiovasc Surg 2009; 57(2): 114-115
DOI: 10.1055/s-2008-1038513
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Anomalous Origin of Left Circumflex Coronary Artery from the Right Pulmonary Artery in Adult

V. Danov1 , 2 , V. Kornovski2 , D. Hazarbasanov3 , P. Panayotov2
  • 1Department of Cardiac Surgery, Central Klinikum, Augsburg, Germany
  • 2Department of Cardiac Surgery, St. Marina Hospital, Varna, Bulgaria
  • 3Department of Cardiology, St. Anna Hospital, Sofia, Bulgaria
Further Information

Publication History

received October 24, 2007

Publication Date:
24 February 2009 (online)

Abstract

Anomalous coronary arteries occur in less than 2 % of the general population. The left circumflex (LCx) artery's origin from the pulmonary artery as a cause of classic angina in adults is extremely uncommon. We report a case of ischemic heart disease due to an origin of the LCx artery from the right main pulmonary artery in a 33-year-old man. Successful surgical correction of this defect was performed with total cardiopulmonary bypass and cardioplegic arrest.

References

  • 1 Gupta S, Malik F, Bertuso J. A rare case of exertional angina in an adult due to anomalous origin of the circumflex artery from the right main pulmonary artery.  J Invasive Cardiol. 2005;  17 E13-E14
  • 2 Meskishvili V A, Dahnert I, Hetzer R, Lange P E, Karl T R. Origin of the circumflex coronary artery from the pulmonary artery in infants.  Ann Thorac Surg. 1998;  66 1406-1409
  • 3 Bolognesi R, Alfieri O, Tsialtas D, Manca C. Surgical treatment of the left circumflex coronary artery from the pulmonary artery in an adult patient.  Ann Thorac Surg. 2003;  75 1642-1643
  • 4 Sarioglu T, Kinoglu B, Saltik L, Eroglu A. Anomalous origin of circumflex coronary artery from the right pulmonary artery associated with subaortic stenosis and coarctation of the aorta.  Eur J Cardiothorac Surg. 1997;  12 663-665
  • 5 Ott D, Cooley D A, Pinsky W, Mullinis C. Anomalous origin of circumflex coronary artery from right pulmonary artery.  J Thorac Cardiovasc Surg. 1978;  76 190-194

Dr. Vladimir Kornovski

Department of Cardiac Surgery
St. Marina Hospital

1, Blvd Hr. Smirnenski

9000 Varna

Bulgaria

Phone: + 35 9 52 30 28 48

Fax: + 35 9 52 30 28 48

Email: kornovski@hotmail.com

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