Origin of the circumflex coronary artery (Cx) from the pulmonary arteries is an extremely rare anomaly. We describe a two-month-old female patient with anomalous origin of the Cx from the right pulmonary artery associated with coarctation of the aorta. Reimplantation of the anomalous Cx to the aorta and coarctation repair were performed. There were no postoperative complications, and the patient was discharged in satisfactory condition.
Alexi-MeskishviliVDahnertIHetzerRLangePEKarlTR. Origin of the circumflex coronary artery from the pulmonary artery in infants. Ann Thorac Surg. 1998;66(4):1406–1491.
2.
ChopraPSReedWHWilsonADRaoPS. Delayed presentation of anomalous circumflex coronary artery arising from pulmonary artery following repair of aortopulmonary window in infancy. Chest. 1994;106(6):1920–19222.
3.
SariogluTKinogluBSaltikLErogluA. Anomalous origin of circumflex coronary artery from the right pulmonary artery associated with subaortic stenosis and coarctation of the aorta. Eur J Cardiothorac Surg. 1997;12(4):663–665.
4.
HoneyMLincolnJCROsborneMPde BonoDP. Coarctation of aorta with right aortic arch report of surgical correction in 2 cases: one with associated anomalous origin of left circumflex coronary artery from the right pulmonary artery. Br Heart J. 1975;37(9):937–945.
5.
BolognesiRAlfieriOTsialtasDMancaC. Surgical treatment of the left circumflex coronary artery from the pulmonary artery in an adult patient. Ann Thorac Surg. 2003;75(5):1642–1643.
