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Anomalous origin of coronary arteries from pulmonary artery in adults: a case series
BACKGROUND: Anomalous origin of a coronary artery from the pulmonary trunk is a small group of rare congenital anomalies present in up to 1% of the population. These patients, in absence of an adequate collateral supply, may present with congestive heart failure secondary to ischaemia, arrhythmia, o...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7534175/ https://www.ncbi.nlm.nih.gov/pubmed/33043237 http://dx.doi.org/10.1093/ehjcr/ytaa047 |
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author | Vergara-Uzcategui, Carlos Eduardo das Neves, Barbara Salinas, Pablo Fernández-Ortiz, Antonio Núñez-Gil, Iván J |
author_facet | Vergara-Uzcategui, Carlos Eduardo das Neves, Barbara Salinas, Pablo Fernández-Ortiz, Antonio Núñez-Gil, Iván J |
author_sort | Vergara-Uzcategui, Carlos Eduardo |
collection | PubMed |
description | BACKGROUND: Anomalous origin of a coronary artery from the pulmonary trunk is a small group of rare congenital anomalies present in up to 1% of the population. These patients, in absence of an adequate collateral supply, may present with congestive heart failure secondary to ischaemia, arrhythmia, or sudden cardiac death in up to 90% of cases within the first months of life. CASE SUMMARY: We present four cases diagnosed in adulthood over 10 years in two high-volume centres. The first patient presented with dyspnoea and orthopnoea. The second with chest pain and episodes of non-sustained ventricular tachycardia. The third patient presented during her third pregnancy with chest pain, palpitations, and arrhythmia (non-sustained ventricular tachycardia). The fourth patient presented with sudden cardiac death. DISCUSSION: In all cases with anomalous origin of coronary arteries, it is recommendable to consider surgical correction to avoid the progression of ischaemia, congestive heart failure, arrhythmia, and sudden death. |
format | Online Article Text |
id | pubmed-7534175 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-75341752020-10-09 Anomalous origin of coronary arteries from pulmonary artery in adults: a case series Vergara-Uzcategui, Carlos Eduardo das Neves, Barbara Salinas, Pablo Fernández-Ortiz, Antonio Núñez-Gil, Iván J Eur Heart J Case Rep Case Series BACKGROUND: Anomalous origin of a coronary artery from the pulmonary trunk is a small group of rare congenital anomalies present in up to 1% of the population. These patients, in absence of an adequate collateral supply, may present with congestive heart failure secondary to ischaemia, arrhythmia, or sudden cardiac death in up to 90% of cases within the first months of life. CASE SUMMARY: We present four cases diagnosed in adulthood over 10 years in two high-volume centres. The first patient presented with dyspnoea and orthopnoea. The second with chest pain and episodes of non-sustained ventricular tachycardia. The third patient presented during her third pregnancy with chest pain, palpitations, and arrhythmia (non-sustained ventricular tachycardia). The fourth patient presented with sudden cardiac death. DISCUSSION: In all cases with anomalous origin of coronary arteries, it is recommendable to consider surgical correction to avoid the progression of ischaemia, congestive heart failure, arrhythmia, and sudden death. Oxford University Press 2020-03-12 /pmc/articles/PMC7534175/ /pubmed/33043237 http://dx.doi.org/10.1093/ehjcr/ytaa047 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Cardiology. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Series Vergara-Uzcategui, Carlos Eduardo das Neves, Barbara Salinas, Pablo Fernández-Ortiz, Antonio Núñez-Gil, Iván J Anomalous origin of coronary arteries from pulmonary artery in adults: a case series |
title | Anomalous origin of coronary arteries from pulmonary artery in adults: a case series |
title_full | Anomalous origin of coronary arteries from pulmonary artery in adults: a case series |
title_fullStr | Anomalous origin of coronary arteries from pulmonary artery in adults: a case series |
title_full_unstemmed | Anomalous origin of coronary arteries from pulmonary artery in adults: a case series |
title_short | Anomalous origin of coronary arteries from pulmonary artery in adults: a case series |
title_sort | anomalous origin of coronary arteries from pulmonary artery in adults: a case series |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7534175/ https://www.ncbi.nlm.nih.gov/pubmed/33043237 http://dx.doi.org/10.1093/ehjcr/ytaa047 |
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