ABSTRACT
We present a successful surgical repair of a rare variant of the common arterial trunk with unusual arrangement of the pulmonary arteries. The variant was not readily classified using either of the popular classifications for the common arterial trunk. It is appropriately described as a common arterial trunk showing aortic dominance, but with extrapericardial origin of the pulmonary arteries from the underside of the truncal arch. We also provide an account of cardiac development, which we suggest offers an accurate explanation for its morphogenesis.
Subject(s)
Heart Defects, Congenital , Truncus Arteriosus, Persistent , Humans , Truncus Arteriosus, Persistent/surgery , Heart Defects, Congenital/surgery , Truncus Arteriosus , MorphogenesisABSTRACT
We present an alternative technique for the repair of a high partially anomalous pulmonary venous connection to the superior vena cava.
Subject(s)
Pulmonary Veins , Vena Cava, Superior , Humans , Pulmonary Veins/abnormalities , Pulmonary Veins/surgery , Vena Cava, Superior/abnormalities , Vena Cava, Superior/surgeryABSTRACT
We present a patient with the extremely rare coexistence of two distinct coronary artery malformations: anomalous aortic origin of the right coronary artery from the left aortic sinus with intramural course and anomalous origin of the circumflex coronary artery from the right pulmonary artery. Surgical reimplantation of the anomalous left circumflex coronary artery to the aorta and unroofing of the intramural portion of the anomalous right coronary artery were performed.
