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Guenther TM, Sherazee EA, Gustafson JD, Wozniak CJ, Brothers J, Raff G. Anomalous Origin of the Circumflex or Left Anterior Descending Artery From the Pulmonary Artery. World J Pediatr Congenit Heart Surg 2020; 11:765-775. [PMID: 33164690 DOI: 10.1177/2150135120938705] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Anomalous origin of the circumflex or left anterior descending artery from the pulmonary artery (ACxAPA and ALADAPA, respectively) are rare congenital coronary anomalies with clinical presentation varying from an asymptomatic murmur to sudden cardiac arrest. A systematic review was performed, and 46 cases of ACxAPA and 51 cases of ALADAPA were identified in 87 articles. Data were collected and analyzed from each case. A better understanding of ACxAPA/ALADAPA can provide information to providers who encounter this lesion as well as provide insight into coronary artery development which may help in the understanding of coronary artery anomalies.
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Affiliation(s)
- Timothy M Guenther
- Department of Surgery, 70083University of California, Davis, Sacramento, CA, USA.,Department of Cardiothoracic Surgery, 19892David Grant USAF Medical Center, Travis AFB, Fairfield, CA, USA
| | - Elan A Sherazee
- Department of Surgery, 70083University of California, Davis, Sacramento, CA, USA.,Department of Cardiothoracic Surgery, 19892David Grant USAF Medical Center, Travis AFB, Fairfield, CA, USA
| | - Joshua D Gustafson
- Department of Cardiothoracic Surgery, 19892David Grant USAF Medical Center, Travis AFB, Fairfield, CA, USA.,Norman M. Rich Department of Surgery, 70083Uniformed Services University of the Health Sciences, Bethesda, MD, USA
| | - Curtis J Wozniak
- Department of Cardiothoracic Surgery, 19892David Grant USAF Medical Center, Travis AFB, Fairfield, CA, USA
| | - Julie Brothers
- Department of Cardiology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Gary Raff
- Department of Surgery, 70083University of California, Davis, Sacramento, CA, USA
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