Pulmonary Origin of Circumflex Artery in Aortopulmonary Window

Abstract

An aortopulmonary window associated with an anomalous left circumflex coronary artery arising from the adjoining pulmonary sinus in a 4-kg baby boy was successfully repaired by re-routing with a pericardial patch.

A hidden culprit for ventricular dysfunction in aortopulmonary window repair: Anomalous origin of left coronary artery. Case report and review of literature

“…1 Furthermore, even the normal origin of right and left coronary arteries cannot rule out anomalous origin of the circumflex branch of the LCA. 13,14 Coronary angiography can be helpful but may fail to demonstrate anomalous coronary artery anatomy clearly in these patients. 4 We suspect that computed tomographic angiography would have similar limitations.…”