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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...

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Autores principales: Jaswal, Vivek, Thingnam, Shyam Kumar Singh, Kumar, Vikas, Patel, Ruchit, Munirathinam, Ganesh Kumar, Toshkhani, Dheemta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tabriz University of Medical Sciences 2021
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.
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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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