51. Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery in a Neonate with Turner Syndrome and Aortic Arch Hypoplasia.
- Author
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Stefek BP, Imundo JR, and Clark JB
- Subjects
- Aorta, Thoracic diagnostic imaging, Aorta, Thoracic surgery, Blood Vessel Prosthesis Implantation methods, Cardiac Catheterization, Computed Tomography Angiography, Coronary Vessel Anomalies surgery, Coronary Vessels surgery, Echocardiography, Female, Fluoroscopy, Humans, Infant, Newborn, Pulmonary Artery diagnostic imaging, Pulmonary Artery surgery, Abnormalities, Multiple, Aorta, Thoracic abnormalities, Coronary Vessel Anomalies diagnosis, Coronary Vessels diagnostic imaging, Pulmonary Artery abnormalities, Turner Syndrome diagnosis
- Abstract
Anomalous origin of the right coronary artery from the pulmonary artery, a rare congenital cardiac defect, is typically not diagnosed during infancy. On the other hand, Turner syndrome is usually diagnosed early, and it is classically associated with bicuspid aortic valve and aortic coarctation. Individuals with Turner syndrome are also at increased risk for coronary artery anomalies. We present a case of anomalous right coronary artery from the pulmonary artery in a week-old neonate who also had Turner syndrome, patent ductus arteriosus, transverse aortic arch hypoplasia, and impaired ventricular function. Prostaglandin therapy through the ductus increased the patient's myocardial perfusion. Four months after corrective surgery, she was doing well. We discuss the reperfusion phenomenon in our patient's case, as well as other considerations in this combination of congenital defects., (© 2019 by the Texas Heart® Institute, Houston.)
- Published
- 2019
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