Abstract
Anomalous origins of both the left and right coronary arteries are rare but have been well documented when both arteries arise from the pulmonary trunk (Angelini et al., Circulation 105:2449–2454, 2002). An anomalous coronary arterial origin from the pulmonary arteries usually involves the left coronary artery (ALCPA) and less frequently the right coronary artery (ARCPA). At least three cases have been reported in which the right coronary artery arose abnormally from the left ventricle (LV), but none have been reported in which both coronary arteries took their origin from the right ventricle (Ippisch and Kimball, J Am Soc Echocardiogr 23:222.e1–222.e2, 2010; Okuyama et al., Jpn Heart J 36:115–118, 1995; Culbertson et al., Pediatr Cardiol 16:73–75, 1995). Ostial atresia with anomalous origin of a coronary artery from the right ventricle has been described only in pulmonary atresia with an intact ventricular septum and a hypoplastic right ventricle. In this setting, atresia of both coronary ostia with right ventricular origin of both coronary arteries is a rare variant. This report presents a neonate in whom the entire coronary arterial system arose from the right ventricle via a single fistula with no other intracardiac defects. To the authors’ knowledge, this anomaly has not been described previously.
References
Angelini P, Velasco JA, Flamm S (2002) Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation 105:2449–2454
Culbertson C, DeCampli W, Williams R, Helton G, Young N, Hardy C (1995) Congenital valvar aortic stenosis and abnormal origin of the right coronary artery: rare combination with important clinical implications. Pediatr Cardiol 16:73–75
Freedom RM, Anderson RH, Perri D (2005) The significance of ventriculo-coronary arterial connections in the setting of pulmonary atresia with an intact ventricular septum. Cardiol Young 15:447–468
Ippisch HM, Kimball TR (2010) Anomalous origin of the right coronary artery from the left ventricle. J Am Soc Echocardiogr 23:222.e1–222.e2
Okuyama M, Kubota I, Miura T, Nagamine S, Yokoyama K (1995) Anomalous origin of the right coronary artery from the left ventricle in an adult. Jpn Heart J 36:115–118
Author information
Authors and Affiliations
Corresponding author
Electronic supplementary material
Below is the link to the electronic supplementary material.
Supplementary material 1 (AVI 3277 kb)
Supplementary material 2 (AVI 1566 kb)
Supplementary material 3 (AVI 940 kb)
Rights and permissions
About this article
Cite this article
Olabiyi, O., Kearney, D., Krishnamurthy, R. et al. First Description of Coronary Artery Ostial Atresia With Fistulous Origin From a Normal Right Ventricle. Pediatr Cardiol 34, 1877–1881 (2013). https://doi.org/10.1007/s00246-012-0427-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00246-012-0427-0