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A single coronary artery with left circumflex artery crossing right ventricular outflow tract in tetralogy of Fallot with absent left pulmonary artery
Tetralogy of Fallot (TOF) with unilateral absence of pulmonary artery and the anomalous coronary artery is a rare combination. Detailed preoperative evaluation of coronary artery anatomy is must to prevent injury to the major vessels crossing right ventricular outflow tract. We report a rare associa...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Tabriz University of Medical Sciences
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8007902/ https://www.ncbi.nlm.nih.gov/pubmed/33815708 http://dx.doi.org/10.34172/jcvtr.2020.61 |
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author | Jaswal, Vivek Thingnam, Shyam Kumar Singh Kumar, Vikas Patel, Ruchit Munirathinam, Ganesh Kumar Toshkhani, Dheemta |
author_facet | Jaswal, Vivek Thingnam, Shyam Kumar Singh Kumar, Vikas Patel, Ruchit Munirathinam, Ganesh Kumar Toshkhani, Dheemta |
author_sort | Jaswal, Vivek |
collection | PubMed |
description | Tetralogy of Fallot (TOF) with unilateral absence of pulmonary artery and the anomalous coronary artery is a rare combination. Detailed preoperative evaluation of coronary artery anatomy is must to prevent injury to the major vessels crossing right ventricular outflow tract. We report a rare association of single coronary artery with left circumflex artery crossing right ventricular outflow tract close to the pulmonary annulus in tetralogy of Fallot with absent left pulmonary artery in 11-year-old girl. Though there is a great diversity of coronary anomalies in tetralogy of Fallot, the prepulmonic course of left circumflex artery crossing the right ventricular outflow tract (RVOT) close to the pulmonary annulus has rarely been described in the literature. The patient underwent successful primary single lung intracardiac repair. Right ventricular outflow tract obstruction was treated by handmade valved pericardial autologous conduit and release of the tethering of hypoplastic native unicuspid pulmonary valve leaflet maintaining its integrity. |
format | Online Article Text |
id | pubmed-8007902 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Tabriz University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-80079022021-04-02 A single coronary artery with left circumflex artery crossing right ventricular outflow tract in tetralogy of Fallot with absent left pulmonary artery Jaswal, Vivek Thingnam, Shyam Kumar Singh Kumar, Vikas Patel, Ruchit Munirathinam, Ganesh Kumar Toshkhani, Dheemta J Cardiovasc Thorac Res Case Report Tetralogy of Fallot (TOF) with unilateral absence of pulmonary artery and the anomalous coronary artery is a rare combination. Detailed preoperative evaluation of coronary artery anatomy is must to prevent injury to the major vessels crossing right ventricular outflow tract. We report a rare association of single coronary artery with left circumflex artery crossing right ventricular outflow tract close to the pulmonary annulus in tetralogy of Fallot with absent left pulmonary artery in 11-year-old girl. Though there is a great diversity of coronary anomalies in tetralogy of Fallot, the prepulmonic course of left circumflex artery crossing the right ventricular outflow tract (RVOT) close to the pulmonary annulus has rarely been described in the literature. The patient underwent successful primary single lung intracardiac repair. Right ventricular outflow tract obstruction was treated by handmade valved pericardial autologous conduit and release of the tethering of hypoplastic native unicuspid pulmonary valve leaflet maintaining its integrity. Tabriz University of Medical Sciences 2021 2020-12-23 /pmc/articles/PMC8007902/ /pubmed/33815708 http://dx.doi.org/10.34172/jcvtr.2020.61 Text en © 2021 The Author(s) This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Jaswal, Vivek Thingnam, Shyam Kumar Singh Kumar, Vikas Patel, Ruchit Munirathinam, Ganesh Kumar Toshkhani, Dheemta A single coronary artery with left circumflex artery crossing right ventricular outflow tract in tetralogy of Fallot with absent left pulmonary artery |
title | A single coronary artery with left circumflex artery crossing right ventricular outflow tract in tetralogy of Fallot with absent left pulmonary artery |
title_full | A single coronary artery with left circumflex artery crossing right ventricular outflow tract in tetralogy of Fallot with absent left pulmonary artery |
title_fullStr | A single coronary artery with left circumflex artery crossing right ventricular outflow tract in tetralogy of Fallot with absent left pulmonary artery |
title_full_unstemmed | A single coronary artery with left circumflex artery crossing right ventricular outflow tract in tetralogy of Fallot with absent left pulmonary artery |
title_short | A single coronary artery with left circumflex artery crossing right ventricular outflow tract in tetralogy of Fallot with absent left pulmonary artery |
title_sort | single coronary artery with left circumflex artery crossing right ventricular outflow tract in tetralogy of fallot with absent left pulmonary artery |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8007902/ https://www.ncbi.nlm.nih.gov/pubmed/33815708 http://dx.doi.org/10.34172/jcvtr.2020.61 |
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