Origin of both coronary arteries from the pulmonary artery and aortic coarctation

Anomalous origin of a single coronary artery from the pulmonary artery associated with patent ductus arteriosus

“…6 The most common defects are atrial septal defect, ventricular septum defect, 8 conotruncal defects (tetralogy of Fallot and truncus arterosius), and aorta coarctation. 7 In the case of our patient, the associated patent ductus arteriosus was the only left to right shunt sustaining the patient tolerance to a usually deadly condition. Other rare cases of long-term survival due to a defect allowing for near normal perfusion pressure have been reported, including a 39-year-old man with persistent truncus arteriosus 9 and a 7-year-old girl with a large ventricular septal defect.…”

“…Surgical treatment involves the reimplantation of the single coronary artery into the aortic root. 5 Anomalous origin of a single coronary artery from the pulmonary artery is typically associated with other cardiovascular defects, [6][7][8] the number and severity of which determine the clinical course. It can also occur as an isolated disease leading to early death during the first year.…”

Anomalous single trunk coronary artery from the right pulmonary artery

“…2,3 Anomalous origin of coronary arteries from pulmonary arteries are usually sporadic anomaly, but may present with other congenital heart defects as single ventricle physiology, atrial septal defects, ventricular septal defects, coarctation of aorta, tetralogy of Fallot, or pulmonary atresia. [2][3][4][5] It may be asymptomatic or presenting with poor feeding and insufficiency in weight gain in the first days of neonatal period. 6 Symptoms can be seen with pulmonary vascular resistance fall with the increase in shunt to the lung and cause of coronary stealing.…”

“…Association with another lesions affects the onset time of symptoms, survive, and prognosis of patients. 2,4 To see the findings of impaired ventricular systolic function, cardiomegaly and various degree of atrioventricular valve failure in the echocardiography and anomalous coronary artery from the pulmonary artery should be considered in the neonatal periods. 7 CT angiography, MRI, or coronary angiography should be performed in cases suspected of anomalous coronary artery from the pulmonary artery with echocardiography.…”

Anomalous Origins of Coronary Arteries From the Pulmonary Artery

“…55 It may be associated with other congenital malformations with only a few successful surgical repairs reported. [56][57][58][59][60][61] Early recognition and immediate initiation of prostaglandin E 1 is lifesaving by providing oxygenated blood and high pulmonary artery pressure to sustain antegrade coronary perfusion to the myocardium. 61 Timely diagnosis with echocardiography and contrast imaging with immediate reimplantation into the aorta is the only viable treatment for this rare and very fatal coronary anomaly (Figure 9).…”