Anomalous Origin of the Circumflex or Left Anterior Descending Artery From the Pulmonary Artery

Author:

Guenther Timothy M.12ORCID,Sherazee Elan A.12,Gustafson Joshua D.23,Wozniak Curtis J.2,Brothers Julie4,Raff Gary1

Affiliation:

1. Department of Surgery, University of California, Davis, Sacramento, CA, USA

2. Department of Cardiothoracic Surgery, David Grant USAF Medical Center, Travis AFB, Fairfield, CA, USA

3. Norman M. Rich Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD, USA

4. Department of Cardiology, The Children’s Hospital of Philadelphia, Philadelphia, PA, USA

Abstract

Anomalous origin of the circumflex or left anterior descending artery from the pulmonary artery (ACxAPA and ALADAPA, respectively) are rare congenital coronary anomalies with clinical presentation varying from an asymptomatic murmur to sudden cardiac arrest. A systematic review was performed, and 46 cases of ACxAPA and 51 cases of ALADAPA were identified in 87 articles. Data were collected and analyzed from each case. A better understanding of ACxAPA/ALADAPA can provide information to providers who encounter this lesion as well as provide insight into coronary artery development which may help in the understanding of coronary artery anomalies.

Publisher

SAGE Publications

Subject

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

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