Coronary-to-pulmonary collateral artery from a superdominant morphologically right coronary artery
Mansi Verma1, Niraj Nirmal Pandey1, Satyavir Yadav2
1Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India.
Insights
A rare congenital heart defect case involved a 16-year-old male with ventricular septal defect and pulmonary atresia. Computed tomography angiography revealed a large coronary-to-pulmonary collateral artery supplying the lungs.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Medical Imaging
Background:
- Congenital heart disease presents complex anatomical variations.
- Ventricular septal defect, pulmonary atresia, and discordant atrioventricular connections are severe cardiac malformations.
- Coronary-to-pulmonary collateral arteries can develop in complex cyanotic heart disease.
Abstract:
We present a case of a 16-year-old cyanotic male patient with ventricular septal defect, pulmonary atresia and discordant atrioventricular connections where computed tomography angiography demonstrated a large tortuous coronary-to-pulmonary collateral artery arising from the superdominant morphologically right coronary artery and coursing cranially to supply the pulmonary parenchyma.
Related Concept Videos
Coronary Circulation
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
The Arch of Aorta
Encircling the heart, the coronary arteries form a ring-like structure before...
Overview of Pulmonary Circulation
The process begins with the right ventricle of the heart pumping deoxygenated blood into the pulmonary trunk. This large vessel extends about 5 centimeters before splitting into the left and right pulmonary arteries. These arteries...
Overview of Systemic and Pulmonary Circulation
The oxygenated blood is sent...
Physiology of the Heart: The Cardiac Cycle
Diastole: The Relaxation Phase
During diastole, all four heart chambers relax. The atrioventricular (AV) valves open, and the semilunar valves close. This phase sees the lowest chamber pressures, promoting ventricular filling. Venous blood enters the heart through the...
Coronary Artery Disease II: Pathophysiology


