Anomalous Origin of Left Circumflex Coronary Artery From Right Pulmonary Artery: An Unusual Cause of Sudden Cardiac Arrest

Author:

Schmiady Martin O.123ORCID,Cesnjevar Robert23,Yakupoglu Yakup4,Adjibodou Ojuola B.4,Spirig Andreas5,Bettex Dominique6,Meier Lukas7,Carrel Thierry1

Affiliation:

1. Clinic for Cardiac Surgery, University Heart Center, University Hospital Zurich, Zurich, Switzerland

2. Department of Congenital Cardiovascular Surgery, University Children's Hospital Zurich, Zurich, Switzerland

3. Children's Research Center, University Children's Hospital Zurich, University of Zurich, Zurich, Switzerland

4. Division of Cardiology, Medical University Department, Cantonal Hospital Aarau, Aarau, Switzerland

5. Department of Radiology, Cantonal Hospital Aarau, Aarau, Switzerland

6. Institute of Anaesthesiology, University Hospital Zurich, Zurich, Switzerland

7. Adult Congenital Heart Disease Program, University Heart Center, University Hospital Zurich, University of Zurich, Zurich, Switzerland

Abstract

Anomalous origin of the left circumflex coronary artery from the right pulmonary artery is an extremely rare coronary anomaly out of the group of anomalous coronary arteries arising from the pulmonary artery. We present the case of a 27-year-old male, in whom the diagnosis of an anomalous left circumflex coronary artery from the pulmonary artery was made after sudden cardiac arrest. The diagnosis was confirmed by multimodal imaging and the patient underwent successful surgical correction. Abnormal origins of a coronary artery may become symptomatic later in life and may occur as an isolated cardiac malformation. Due to a potentially unfavorable clinical course, surgical correction should be considered as soon as a diagnosis is made.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Pediatrics, Perinatology and Child Health,Surgery

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