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Ann Thorac Surg 1995;60:706-708
© 1995 The Society of Thoracic Surgeons

Case Report

Origin of Both Coronary Arteries From the Pulmonary Artery and Aortic Coarctation

Giuseppe Santoro, MD, Duccio di Carlo, MD, Adriano Carotti, MD, Roberto Formigari, MD, Renata Boldrini, MD, Cesare Bosman, MD, Luigi Ballerini, MD

Departments of Pediatric Cardiology, Cardiac Surgery, and Pathology, Ospedale Bambino Gesù, Rome, Italy

Accepted for publication March 8, 1995.

Single trunk anomalous origin of both coronary arteries from the pulmonary artery is a rare congenital cardiac anomaly. We report on 2 cases of its association with aortic coarctation, the diagnosis of which in living patients is very difficult. We think that the possibility of this anatomic arrangement should always be considered in patients with isolated aortic coarctation whose clinical condition seems impaired rather than improved after an apparently successful coarctectomy.






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