Double anomalous coronary origin from the pulmonary artery: successful surgical correction in an infant
Enrique Ochoa-Ramírez1, Hector E Valdez-Garza, Roberto Reyes-González
1Department of Cardiovascular Surgery, Escuela de Medicina Tecnológico de Monterrey, Post Grado Pediatría y Cirugía General and Hospital San Jose TEC de Monterrey, Nuevo León 64710, Mexico. dimasmateos@yahoo.com
Insights
This report details a rare congenital heart defect where all coronary arteries originate from the pulmonary artery. Surgical correction in a 2-month-old infant resulted in a favorable long-term outcome, exceeding typical survival expectations.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Pediatric Cardiac Surgery
Background:
- Congenital anomalies of the coronary arteries are rare but can lead to severe cardiac complications.
- Origin of all coronary arteries from the pulmonary artery (ALCAPA) is an extremely rare condition with historically poor outcomes.
Observation:
- A 2-month-old infant presented with a rare congenital heart anomaly.
- All coronary arteries were observed to originate from the pulmonary artery.
Findings:
- The patient underwent successful surgical correction of the anomalous coronary artery origin.
- Post-operative follow-up at 27 months shows the patient is doing well, indicating a favorable outcome.
Implications:
- This case highlights the possibility of successful surgical intervention and long-term survival for ALCAPA.
- Early diagnosis and prompt surgical correction are crucial for improving prognosis in patients with this rare condition.
Abstract:
We report an extremely rare entity in which all coronary arteries originate from the pulmonary artery. Only a few cases have been reported and corrected, and fewer still have had a favorable outcome. The survival range reported for these patients is from 9 hours to 1 year. This case was diagnosed and surgically corrected in a patient at the age of 2 months, and the patient is doing well 27 months after the procedure.
