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Aortopulmonary window associated with anomalous right coronary artery: a rare combination / Anormal sag koroner arter ile aortopulmoner pencere birlikteligi goruntulenmesi.

A 4-month-old boy was admitted to our department with dyspnea and clinical findings of congestive heart failure. He had no family history of cardiac disease and consanguineous marriage. At prenatal period, he had no risk factor for developing congenital heart disease. On physical examination his blood pressure was 74/44 mmHg, and heart rate was 120 bpm. Auscultation revealed a systolic murmur (3/6) at left sternal border. Normal sinus rhythm was observed on electrocardiogram with biventricular enlargement and no signs of ischemia. As the first step, echocardiography showed an aortopulmonary window and anomalous right coronary artery from pulmonary artery. The patient was referred for angiography for definitive diagnosis of the anomaly (Fig. 1, Video 1, 2. See corresponding video/movie images at www.anakarder.com). Cardiac catheterization revealed proximal type of aortopulmonary window and right coronary artery originating from the pulmonary artery (Fig. 2). Left coronary artery was located normally.

[FIGURE 1 OMITTED]

[FIGURE 2 OMITTED]

The association of aortopulmonary window with anomalous right coronary artery originating from pulmonary artery is a very rare entity. As all patients with similar association had dominated signs of aortopulmonary window, associated anomalies are mostly overlooked. However, patients having complications related to ischemic events are candidates for careful evaluation of any coronary arterial anomaly. Early surgical intervention is mandatory because of high risk of irreversible pulmonary vascular disease.

Address for Correspondence/Yazisma Adresi: Dr. Hakan Aydin Sami Ulus Cocuk Hastanesi Kalp Damar Cerrahisi Klinigi, Ankara, Turkey Gsm: +90 533 630 47 11 E-mail: nhakanaydin@gmail.com

Utku Arman Orun, Hakan Aydin *, Burhan Ocal, Filiz Senocak, Kanat Ozizik *, Ali Kutsal *

From Departments of Cardiology and Cardiovascular Surgery *, Dr. Sami Ulus Children's Hospital, Ankara, Turkey
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Title Annotation:E-page Original Images / E-sayfa Orijinal Goruntuler
Author:Orun, Utku Arman; Aydin, Hakan; Ocal, Burhan; Senocak, Filiz; Ozisik, Kanat; Kutsal, Ali
Publication:The Anatolian Journal of Cardiology (Anadolu Kardiyoloji Dergisi)
Article Type:Clinical report
Geographic Code:7TURK
Date:Dec 1, 2007
Words:280
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