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Right arrow Congenital - acyanotic

Ann Thorac Surg 2004;78:324-326
© 2004 The Society of Thoracic Surgeons

Case report

Anomalous origin of left coronary artery from right pulmonary artery in an infant with coarctation of the aorta

Anil Sivadasan Radha, DNBa, Baiju Sasi Dharan, MChb, Raman Krishna Kumar, DMa, Suresh Gururaja Rao, MCh*b

a Divisions of Pediatric Cardiology and Pediatric Cardiac Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India
b Departments of Cardiology and Cardiovascular Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India

Accepted for publication June 13, 2003.

* Address reprint requests to Dr Rao, Amrita Institute of Medical Sciences, Kochi 682026, Kerala, India
e-mail: sureshgrao{at}aimshospital.org

Anomalous origin of the left coronary artery from the right pulmonary artery is a very rare congenital anomaly, and its occurrence with coarctation of the aorta has been reported in very few patients. We report a neonate where the coronary anomaly was missed preoperatively and diagnosed after repair of the coarctation. The patient thereafter underwent ligation of the left anomalous coronary artery and had an uneventful convalescence.






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