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Totally anomalous origin of the coronary arteries from the pulmonary trunk: a case report

Published online by Cambridge University Press:  22 September 2025

Carolina Vieira Campos*
Affiliation:
Department of Pediatrics and Pediatric Surgery, Pediatric Cardiology and Cardiovascular Surgery at CardioPedBrasil® - Hospital da Criança e Maternidade, São José do Rio Preto, São Paulo, Brazil
Ulisses Alexandre Croti
Affiliation:
Department of Pediatrics and Pediatric Surgery, Pediatric Cardiology and Cardiovascular Surgery at CardioPedBrasil® - Hospital da Criança e Maternidade, São José do Rio Preto, São Paulo, Brazil
Vera Demarchi Aiello
Affiliation:
Laboratory of Pathology, Heart Institute (InCor), Hospital das Clínicas da Universidade de São Paulo, São Paulo, Brazil
*
Corresponding author: Carolina Vieira Campos; Email: carolvcampos@gmail.com

Abstract

Coronary anomalies are a rare but potentially fatal congenital defect. Among high-risk anatomic features, totally anomalous origin of the coronary arteries from the pulmonary trunk is extremely rare, with only 57 cases reported in the literature as to our knowledge. We report a case of such a congenital anomaly with a successful surgical repair and good cardiac function recovery. We emphasise the need for awareness, since this anatomic presentation precludes collateral development and has, therefore, a higher mortality rate.

Information

Type
Case Report
Copyright
© The Author(s), 2025. Published by Cambridge University Press

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References

Fuenzalida, JJV et al. Anatomical variants of the origin of the coronary arteries: a systematic review and meta-analysis of prevalence. Diagnostics 2024; 14: 1458.10.3390/diagnostics14131458CrossRefGoogle ScholarPubMed
Singh, TP, Di Carli, MF, Sullivan, NM, Leonen, MF, Morrow, WR. Myocardial flow reserve in long-term survivors of repair of anomalous left coronary artery from pulmonary trunk. J Am Coll Cardiol 1988; 31: 437443.10.1016/S0735-1097(97)00488-9CrossRefGoogle Scholar
Guenther, TM et al. Total anomalous origin of the coronary arteries from the pulmonary trunk: a systematic review. Cardiol Young 2021; 31: 15631570.10.1017/S1047951121002997CrossRefGoogle ScholarPubMed
Feldt, RH, Ongley, PA, Titus, JL. Total coronaryarterial circulation from pulmonary trunk with survival to age seven: report of a case. Mayo Clin Proc 1965; 40: 539543.Google Scholar
Alzghari, T et al. Coronary artery bypass surgery to treat anomalous origin of coronary arteries in adults: a systematic review. Heart Lung Circ 2023; 32: 15001511.10.1016/j.hlc.2023.09.014CrossRefGoogle ScholarPubMed