High origin of the right coronary artery with partial anomalous pulmonary venous connection to the left superior caval vein in tetralogy of Fallot

J Card Surg. 2020 Nov;35(11):3244-3247. doi: 10.1111/jocs.14976. Epub 2020 Aug 25.

Abstract

The prevalence of anomalous origin of coronary artery in tetralogy of Fallot has been reported to be around 4% to 6%. The association of high take-off of the right coronary artery from the distal part of the ascending aorta in tetralogy of Fallot in the presence of a partial anomalous pulmonary venous connection (PAPVC) to the left superior caval vein draining into the left atrium is not known to the best of our knowledge. We herein describe such a case when the anomalous right coronary artery and the PAPVC were detected incidentally during intracardiac repair; signifying the importance of a thorough assessment of the anatomy before surgery.

Keywords: coronary artery; left superior vena cava; pulmonary vein; tetralogy of Fallot.

Publication types

  • Case Reports

MeSH terms

  • Cardiovascular Surgical Procedures / methods*
  • Child
  • Coronary Vessel Anomalies / complications
  • Coronary Vessel Anomalies / diagnosis
  • Coronary Vessel Anomalies / surgery*
  • Cyanosis / etiology
  • Female
  • Humans
  • Incidental Findings
  • Intraoperative Period
  • Scimitar Syndrome / complications
  • Scimitar Syndrome / diagnosis
  • Scimitar Syndrome / surgery*
  • Tetralogy of Fallot / complications
  • Tetralogy of Fallot / diagnosis
  • Tetralogy of Fallot / surgery*
  • Treatment Outcome
  • Vena Cava, Superior / abnormalities*
  • Vena Cava, Superior / surgery*