Abstract
We report a case of a 1-year-old patient with aortopulmonary window, anomalous right coronary artery arising from the pulmonary artery, and a large perimembranous ventricular septal defect. Computed tomography was successful in diagnosing the coronary anomaly and the case was managed surgically with an intrapulmonary baffle, rerouting the right coronary ostium to the aortic root and a fenestrated patch closure of the ventricular septal defect. Pre-operative diagnosis and thorough planning were essential for the successful outcome of this case.
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References
Kutsche LM, Van Mierop LH. Anatomy and pathogenesis of aorticopulmonary septal defect. Am J Cardiol. 1987;59:443–7.
Jacobs JP, Quintessenza JA, Gaynor JW, Burke RP, Mavroudis C. Congenital heart surgery nomenclature and database project: aortopulmonary window. Ann Thorac Surg. 2000;69:S44–9.
Mori K, Ando M, Takao A, Ishikawa S, Imai Y. Distal type of aortopulmonary window: report of 4 cases. Br Heart J. 1978;40:681–9.
Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Catheter Cardiovasc Diagn. 1990;21:28–40.
Kastellanos S, Aznaouridis K, Vlachopoulos C, Tsiamis E, Oikonomou E, Tousoulis D. Overview of coronary artery variants, aberrations and anomalies. World J Cardiol. 2018;10:127–40.
Grunenfelder J, Zund G, Vogt PR, Turina MI. Aortopulmonary window with anomalous origin of right coronary artery. Ann Thorac Surg. 1999;67:233–5.
Blieden LC, Moller JH. Aorticopulmonary septal defect. An experience with 17 patients. Br Heart J. 1974;36:630–5.
Burroughs JT, Schmutzer KJ, Linder F, Neuhaus G. Anomalous origin of the right coronary artery with aorticopulmonary window and ventricular septal defect. Report of a case with complete operative correction. J Cardiovasc Surg. 1962;3:142–7.
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Kaushik, P.K., Dhabe, V., Majhi, L. et al. Anomalous right coronary artery from pulmonary artery in aortopulmonary window. Indian J Thorac Cardiovasc Surg 38, 415–417 (2022). https://doi.org/10.1007/s12055-022-01334-1
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DOI: https://doi.org/10.1007/s12055-022-01334-1