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

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.

Anomalous - circumflex coronary artery - right pulmonary artery

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