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Anomalous Circumflex Coronary Artery from Pulmonary Artery

¹ Department of Cardiology
² Department of Cardiac Surgery, Sri Sathya Sai Institute of Higher Medical Sciences, Trivandrum, 695 011, India.

The report of anomalous circumflex coronary artery from pulmonary artery (ACCAPA) was interesting.¹ The authors suggested coronary angiography as the diagnostic tool, with left anterior oblique view as the best aspect for demonstrating the exact site of the anomalous connection. They performed a left coronary artery injection. We would like to point out that selective injection of right coronary artery (RCA) can also delineate ACCAPA, as was seen in a 4-month old baby.² In figure 1, right Amplatz catheter hooked a dominant RCA. Later part of this injection showed that RCA filled ACCAPA by collaterals. The large first branch from RCA was left anterior descending (LAD) artery with its septal perforators. Ostium of ACCAPA was seen in the region of pulmonary artery, away from the aortic sinus. Few reports of ACCAPA are available.^1,2 Our patient was unique with an anomalous LAD arising from ACCAPA.

View larger version (165K): [in this window] [in a new window]   Figure 1. Right coronary injection in left anterior oblique view. right coronary artery (Arrow 1); anomalous circumflex coronary artery from pulmonary artery (Arrow 2); left anterior descending artery with its septal branches (Arrow 3).

ACKNOWLEDGMENTS

Grateful acknowledgements to Elsevier Science, for permission to reproduce Figure 1 from: Krishnamoorthy KM. Atrial septal aneurysm – is it a benign finding? International J Cardiol 1999;71:287–288.

REFERENCES

1. Mirkhani SH, Delavarkhan M, Bayat H, Sanatkar M. Anomalous connection of left circumflex artery to pulmonary artery. Asian Cardiovasc Thorac Ann 2002;10:334–335.[Abstract/Free Full Text]

2. Krishnamoorthy KM, Rao S. Anomalous left circumflex coronary artery from pulmonary artery and left anterior descending artery from right coronary artery. International J Cardiol 2001;80:89–91.

This Article Extract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Krishnamoorthy, K. Articles by Rao, S Search for Related Content PubMed PubMed Citation Articles by Krishnamoorthy, K. Articles by Rao, S Related Collections Congenital - acyanotic