Origin of both coronary arteries from the pulmonary artery

Gonzalo E. Urcelay, Mark D. Iannettoni, Achi Ludomirsky, Ralph S. Mosca, John P. Cheatham, David Alan Danford, Edward L. Bove

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18 Scopus citations

Abstract

Origin of both coronary arteries from the pulmonary artery is generally a lethal condition from progressive ventricular failure. We report the clinical and surgical course of two infants, ages 3 and 6 months, with this anomaly. One patient had normal intracardiac anatomy with low pulmonary artery pressures (30/12 mm Hg). The second patient had a restrictive subpulmonic ventricular septal defect with a moderately elevated pulmonary artery pressure (50/13 mm Hg). Left ventricular ejection and shortening fractions were profoundly depressed in both patients. The common coronary trunk arose from the right anterior facing sinus in one patient and from the left posterior facing sinus in the other. Both patients underwent repair by direct coronary implantation to the aorta. Left ventricular function improved with shortening fractions near normal at a follow-up of 6 months for one patient and 1 year for the other. Early diagnosis and prompt repair is compatible with survival and return of normal shortening fraction.

Original languageEnglish (US)
Pages (from-to)2379-2384
Number of pages6
JournalCirculation
Volume90
Issue number5
DOIs
Publication statusPublished - Nov 1994

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Keywords

  • congenital heart disease
  • coronary arteries
  • pulmonary artery
  • vessels

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Urcelay, G. E., Iannettoni, M. D., Ludomirsky, A., Mosca, R. S., Cheatham, J. P., Danford, D. A., & Bove, E. L. (1994). Origin of both coronary arteries from the pulmonary artery. Circulation, 90(5), 2379-2384. https://doi.org/10.1161/01.CIR.90.5.2379