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Cheng W - - 2008
We report the case of a ten-year-old boy who had often presented with respiratory distress since birth. Chest X-ray showed an enlarged right ventricle. Echocardiography demonstrated TGE characteristic features of Fallot's tetralogy and the left pulmonary artery could not be visualized. However, cardiac catheterization disclosed that the left pulmonary artery ...
Jiang Wei-Xiong - - 2009
Primary sarcoma of a muscular artery is extremely rare. A review of the literature revealed only one report of a sarcoma originating in a coronary artery. We report a case of fatal cardiac infarction caused by an intimal sarcoma originating in the left coronary artery which exhibited immunophenotypic features that ...
Aronson Joshua P - - 2008
OBJECTIVE: The posterior meningeal artery (PMA) normally arises from the vertebral artery; however, its origin varies considerably as the result of its embryological development. This gains clinical significance when associated with vascular pathology. CLINICAL PRESENTATION: A 65-year-old man presented to his local hospital with a sudden-onset, severe headache. Computed tomography ...
Bjelakovic Bojko - - 2008
Anomalous origin of the left coronary artery from the pulmonary trunk is a rare condition. The clinical presentation is usually nonspecific and varies from completely asymptomatic form to sudden cardiac death. We report a two-month-old infant with vomiting as a presenting symptom of anomalous origin of the left coronary artery ...
Jan Sheng-Ling - - 2008
We report an interest and mystifying cardiovascular imaging in a 22q11 deletion neonate with rare congenital heart defects, including anomalous origin of the left pulmonary artery arising from the right pulmonary artery and in front of the trachea, called pseudo-pulmonary artery sling, combined with isolated left subclavian artery confirmed by ...
Shank A M - - 2008
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), or Bland-White-Garland syndrome, is a rare congenital malformation described in children and adults. In this condition, the left coronary artery, which normally originates from the left coronary sinus in the aorta, instead originates from the pulmonary trunk, which ...
Hurley Michael C - - 2008
The authors describe what is, to their knowledge, the first reported case of the anomalous origin of an internal carotid artery from the pulmonary artery. An otherwise asymptomatic 6-year-old girl, who presented with headaches and hypertension, underwent a comprehensive workup that revealed extensive meningeal and cerebral artery anastomoses to the ...
Liu Pei-I - - 2010
Anomalous origin of the left anterior descending artery from the main pulmonary artery is a rare congenital anomaly of the coronary artery. We present a case report of a 31-year-old male patient with anomalous origin of the left anterior descending artery from the main pulmonary artery that was diagnosed by ...
Erickson Lance K - - 2008
A stillborn fetus with pulmonary valvar atresia and intact atrial and ventricular septums also had absence of coronary arterial connections from the aorta and an unroofed coronary sinus. A left superior caval vein drained to the dilated coronary sinus. The left coronary artery was anomalously connected to the proximal branch ...
Holt P - - 2009
This report illustrates a patient in whom coronary artery bypass grafting (C.A.B.G) was based on multi-row detector computerized tomography (MDCT) rather than coronary angiography. She had symptomatic ischaemic heart disease and an anomalous origin of her right coronary artery. Angiography of this vessel was not possible but MDCT contrast cardiac ...
Ando Yusuke - - 2008
We describe a new technique for coronary transfer in the repair of anomalous origin of the left coronary artery from the pulmonary artery. The left coronary artery is elongated with the native pulmonary artery wall to form a spiral-shaped coronary cuff to construct an unstretched new left coronary artery system ...
Attar M Nadeem - - 2008
The origin of the left coronary artery (LCA) from the right sinus of Valsalva is a rare congenital anomaly that may be associated with myocardial infarction and sudden or exercise-related death. We report a rare case of a single coronary artery originating from the right coronary sinus and bifurcating into ...
Hamzeh Gadah - - 2008
Anomalous aortic origin of the coronary arteries is uncommon but clinically significant. Manifestations vary from asymptomatic patients to those who present with angina pectoris, myocardial infarction, heart failure, syncope, arrhythmias, and sudden death. We describe 4 patients, aged 34 to 59 years, who were diagnosed with right coronary artery arising ...
Hirota Masanori - - 2008
A case of anomalous left coronary artery originating from the non-facing pulmonary sinus, located at the most distal position from the aorta, is described. An intrapulmonary tunnel was created without causing undue stenosis or kinking. The Takeuchi procedure is considered to be a useful surgical technique when the origin of ...
Bria Serena - - 2008
Congenital anomalies of coronary arteries may precipitate sudden death in young athletes. We describe the case of a 14-year-old soccer player who developed chest pain and syncope during physical exertion, as the first manifestation of an abnormal aortic origin of the left coronary artery from the right coronary sinus. Correct ...
Galetta Domenico - - 2008
An anomalous course of the vagus nerve is an extremely rare congenital anomaly. We report the case of a 59-year-old man who had left lung cancer. We performed a left upper lobectomy and mediastinal lymphadenectomy, paying attention to the pathway of the left vagus nerve, which had an anomalous course ...
Shin Il-Young - - 2008
To understand the anatomic characteristics of the aortic arch (AA) and its major branches to build a foundation toward performing endovascular surgery safely. A total of 25 formalin fixed Korean adult cadavers were used. The authors investigated : anatomical variations of the AA and its major branches; curvature of the ...
de Jonge G J - - 2008
The purpose of this study is to assess the capability of dual-source computed tomography (DSCT) in evaluating coronary artery anomalies. Early detection and evaluation of coronary artery anomalies is essential because of their potential association with myocardial ischemia and sudden death. In 16 patients (12 men, mean age 50 +/- ...
Yamada Takumi - - 2008
OBJECTIVES: This study investigated the prevalence and electrocardiographic and electrophysiologic characteristics of aortic root ventricular arrhythmias (VAs). BACKGROUND: Idiopathic VAs originating from the ostium of the left ventricle may be ablated at the base of the aortic cusps. METHODS: We studied 265 patients with idiopathic VAs with an inferior QRS-axis ...
Kilicaslan B - - 2008
The anomalous origin of the left coronary artery from the right sinus of valsalva is an anatomical abnormality that is usually associated with myocardial ischaemia and sudden death. We report on a case in which three different diagnostic techniques were used to find the cause of the ischaemic symptoms in ...
Pai M M - - 2008
INTRODUCTION: The male gonadal arteries, namely the testicular arteries, may vary at their origin and arise from the renal artery, suprarenal artery or lumbar artery. They may also be doubled, tripled or even quadrupled and may arise as a common trunk. With the advent of new intra-abdominal operative and laparoscopic ...
Pejković B - - 2008
Classic anatomical dissection of 150 hearts from adults aged 18 - 80 years was performed. The sinoatrial (SA) node artery was most frequently a large atrial branch of the right coronary artery (63%), arising at a mean distance of 1.2 cm (range 0.2 - 2.2 cm) from its beginning, with ...
Ozgur Zuhal - - 2008
The neck region has a great vital value; its variations and known micrometric values are accepted as important orientation points during intervention. Micrometric values of the front branches of the external carotid artery and their relations to the surrounding structures and metric data pertaining to origin locations of the superior ...
Muneer Amanullah M - - 2008
BACKGROUND: Anomalous origin of the left coronary artery from the pulmonary trunk is rare, occurring at an incidence of 1 in 300,000. If not diagnosed and treated early, it is life-threatening. Children with the anomaly usually present in infancy with congestive cardiac failure, and are occasionally referred for cardiac transplant. ...
du Plessis Anne-Marie - - 2008
We present a 5-month-old boy with bridging bronchus associated with a sling left pulmonary artery, both of which are rare. Coronal CT using 3-D volume rendering technique was used to delineate the abnormality and plan surgery. We propose that this technique could be used as single diagnostic tool in a ...
Modi Paul - - 2008
Surgical correction of anomalous left coronary artery from the right pulmonary artery is achieved by either direct implantation of the left coronary artery into the aorta or creation of a conduit between the two. We modified a technique originally described by Tashiro for the main pulmonary artery, by using a ...
Tavaf-Motamen Houman - - 2008
Anomalous origin of the right coronary artery from the left sinus of Valsalva is a rare congenital anomaly but a relatively frequent cause of sudden death in the young. The medical records of 4 consecutive patients with this anomaly were retrospectively reviewed. The first 2 patients underwent coronary artery bypass ...
Li Meng-Ju - - 2009
Tracheobronchial compression by cardiovascular structures complicates the course after surgery of congenital heart disease. A 2-month-old boy with ventricular septal defect, pulmonary atresia, and velocardiofacial syndrome had severe left main bronchus obstruction due to external compression by an anomalously oriented ascending aorta. The patient's hypoxemic episodes necessitated extracorporeal membrane oxygenation. ...
Stein Louis H - - 2008
Despite its rarity, anomalous origin of the right coronary artery (RCA) from the left coronary sinus can pose risk of sudden death. Because of this risk, many patients elect surgical correction of this anomaly. Surgical strategies for correction of this include ostioplasty, coronary artery reimplantation, and, more commonly, coronary artery ...
Castorina S - - 2008
In this article, we describe two cases of anomalous connection of the left coronary artery. The first case is an infant of 4 years with an anomalous origin of the left anterior descending (LAD) artery and the diagonal branches and a circumflex artery which originated from the pulmonary artery. The ...
Lee Seung Tae - - 2008
OBJECTIVE: The aim of this study was to evaluate the incidence of coronary-to-bronchial artery fistula (CBF) and clinical significance in 1300 patients examined with 64-multidetector computed tomography (MDCT) coronary angiography. METHODS: One thousand three hundred ten patients underwent coronary MDCT for atypical chest pain or screening. Volume-rendering and multiplanar reconstruction ...
Waite Stephen - - 2008
Anomalies of the coronary arteries can be benign or life threatening. The prevalence of these anomalies is reported to be approximately 0.3% to 1%, however, this may be an underestimation as conventional angiography may not allow correct identification of these abnormalities. Morphologic variations can arise in the origin, course, or ...
Kacmaz Fehmi - - 2008
BACKGROUND: Coronary artery anomalies are evaluated by using catheter-based angiography. Multidetector row-computed tomography (MDCT) is a new noninvasive imaging technique that has excellent spatial resolution for detecting the origin and course of a coronary anomalous vessel. OBJECTIVE: To determine the sensitivity of multidetector computed tomography in patients who had coronary ...
Wu Qing-yu - - 2008
BACKGROUND: Anomalous origin of coronary artery from the pulmonary artery is a rare congenital cardiac malformation with a mortality rate of up to 90% within the first year of life without surgical intervention. Direct implantation of the anomalous coronary artery (ACA) into the aorta is successful in early life, but ...
Shanmugam Nesan - - 2008
Premature ventricular contractions with a left bundle branch block-like morphology and inferior axis typically originate from the right ventricular outflow tract; however, they can also originate from the pulmonary artery. We report two patients with frequent premature ventricular contractions who underwent successful cryoablation of ectopics arising from the posterolateral region ...
Walsh M A - - 2008
BACKGROUND: Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare condition presenting in infancy with acute myocardial ischaemia. AIMS: A retrospective study was undertaken to assess the presenting features and long-term outcome of all cases of ALCAPA presenting to our institution over a 15-year period. METHODS: All ...
Kumar Anil - - 2008
Variations in coronary anatomy are not uncommon. They are usually benign, but can be a cause of confusion to the angiographer and in most situations, have no clinical significance. In this report, we present an unusual case of a chronically occluded proximal right coronary artery with an anomalous separate right ...
Srinivasan K G - - 2008
Retrospective review of the congenital coronary artery (CA) anomalies detected by a 64-slice multidetector row computed tomographic (MDCT) angiography. The type of the anomaly, imaging characteristics, clinical relevance and the superiority of the MDCT over conventional coronary angiography are discussed. Multidetector row computed tomographic coronary angiography was carried out by ...
Kajihara Noriyoshi - - 2008
BACKGROUND: We evaluated the results of surgery for an anomalous origin of the right pulmonary artery from the ascending aorta. METHODS: From August 1986 to December 2005, 8 children (6 neonates) aged 7 to 180 days (mean, 35 +/- 59 days) with anomalous origin of the right pulmonary artery from ...
Bockeria Leo A - - 2008
We describe a rare case of anomalous origin of the left pulmonary artery from the ascending aorta with concomitant double-outlet right ventricle in a 2-year-old boy. He underwent successful 2-stage surgical treatment with transluminal balloon pulmonary valvuloplasty, followed by complete repair. A follow-up examination at 4 years after the operation ...
Drinkovic Niksa - - 2008
We found increased systolic coronary flow in transthoracic pulsed wave (PW) Doppler in a 42-year-old patient with anomalous origin of left main coronary artery from the pulmonary artery. This is a characteristic echocardiographic finding in this anomaly in the presence of collateral circulation and coronary L-R shunt. In comparison with ...
Klein Lloyd W - - 2008
The embryologic origin of fistulous communications between a coronary artery and the pulmonary artery has traditionally been explained as the persistence of an immature supernumerary coronary artery with its origin in the pulmonary trunk. Although this hypothesis is consistent with the occurrence of the termination of the fistula in the ...
Boissier Florence - - 2008
Nonatherosclerotic anomalies of the coronary arteries are not rare. They account for a third of sudden cardiac deaths in young patients. We report a case of resuscitated cardiac arrest due to an abnormal origin of the right coronary artery. Subsequently, coronary bypass grafting was carried out successfully. After resuscitated sudden ...
Muñoz J J - - 2008
We report the case of a 29-year-old man with hemoptysis. The patient came to the emergency department, where a laboratory test and chest radiograph were reported as normal. The following day the patient again had hemoptysis, though less than previously. He reported no chest pain, dyspnea, fever, catarrh, changes in ...
Chowdhury Ujjwal K - - 2008
BACKGROUND: Direct re-implantation of an anomalous left coronary artery into the aorta is the preferred surgical option for creating a dual coronary arterial system in patients in whom the anomalous artery originated from the pulmonary trunk. This technique, however, is applicable only when the anomalous artery arises from the right ...
Attar M N - - 2008
Dual origin of the circumflex artery is an extremely rare anomaly. We report a rare case of a left circumflex artery arising from the left mainstem and an anomalous circumflex artery from a separate ostium in the right coronary sinus. Both these arteries supplied the circumflex territory. The potential pathological ...
Barry Michael O - - 2008
Multidetector computed tomography angiography is increasingly used to visualize the coronary tree. It is emerging as the test of choice for the detection of anomalous coronary artery origin. It provides excellent spatial resolution and the ability to see the course of the coronary arteries and their proximity to adjacent structures. ...
Adachi Iki - - 2008
We report an operative case of the anomalous origin of the left coronary artery from the right pulmonary artery with aortic intramural course. This particular anatomy was clearly identified with a preoperative angiogram. The restoration of the two-coronary system was accomplished by unroofing the intramural segment into the left sinus ...
Kristensen Thomas - - 2008
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly. The usual clinical course is severe left sided heart failure and mitral valve insufficiency presenting during the first months of life. However, in some cases collateral blood supply from the right coronary artery ...
Sungur Metin - - 2008
We describe a 5-month old infant who presented with a continuous murmur and enlargement of the left heart. The patient's diagnosis was an anomalous systemic arterial supply to basal segments of the left lower lobe characterized by a lack of a pulmonary arterial supply. This condition was treated without lobectomy. ...
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