Iranian Journal of Radiology

Published by: Kowsar

Missed Diagnosis and Treatment Dilemma: Large Patent Ductus Arteriosus Combined with Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery

Ayca Ata Korkmaz 1 , * , Hakan Erkan 2 , Aysegul Karadeniz 2 and Cihan Orem 3
Authors Information
1 Department of Radiology, Kanuni Research and Education Hospital, Trabzon, Turkey
2 Department of Cardiology, Ahi Evren Cardiovascular and Thoracic Surgery Training and Research Hospital, Trabzon, Turkey
3 Department of Cardiology, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey
Article information
  • Iranian Journal of Radiology: April 2017, 14 (2); e30713
  • Published Online: January 25, 2016
  • Article Type: Case Report
  • Received: June 19, 2015
  • Revised: August 16, 2015
  • Accepted: August 30, 2015
  • DOI: 10.5812/iranjradiol.30713

To Cite: Korkmaz A A, Erkan H, Karadeniz A, Orem C. Missed Diagnosis and Treatment Dilemma: Large Patent Ductus Arteriosus Combined with Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery, Iran J Radiol. 2017 ; 14(2):e30713. doi: 10.5812/iranjradiol.30713.

Copyright © 2016, Tehran University of Medical Sciences and Iranian Society of Radiology. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Introduction
2. Case Presentation
3. Discussion
  • 1. Uruski P, Lipski D, Trojnarska O, Juszkat R, Tykarski A. ALCAPA syndrome in a 56-year-old woman with dyspnoea on exertion. Kardiol Pol. 2014; 72(11): 1165[PubMed]
  • 2. Gribaa R, Slim M, Ben Salem H, Neffati E, Boughzela E. Anomalous origin of the left coronary artery from the pulmonary artery presenting as dilated cardiomyopathy: a case report. J Med Case Rep. 2014; 8: 170[DOI][PubMed]
  • 3. Rangel-Abundis A, Munoz-Castellanos L, Marin G, Chavez Perez E, Badui E. [Morphofunctional correlation in congenital anomalies of the coronary arteries. I. Coronary artery fistulas]. Arch Inst Cardiol Mex. 1994; 64(2): 161-74[PubMed]
  • 4. Xiao Y, Jin M, Han L, Ding W, Zheng J, Sun C, et al. Two congenital coronary abnormalities affecting heart function: anomalous origin of the left coronary artery from the pulmonary artery and congenital left main coronary artery atresia. Chin Med J (Engl). 2014; 127(21): 3724-31[PubMed]
  • 5. Orem C, Kiris A, Korkmaz L, Ozturk S, Kahraman N, Kosucu P, et al. Adult-type anomalous origin of the left coronary artery from the main pulmonary artery: one case report. Echocardiography. 2009; 26(10): 1232-5[DOI][PubMed]
  • 6. Frescura C, Basso C, Thiene G, Corrado D, Pennelli T, Angelini A, et al. Anomalous origin of coronary arteries and risk of sudden death: a study based on an autopsy population of congenital heart disease. Hum Pathol. 1998; 29(7): 689-95[PubMed]
  • 7. Taylor AJ, Rogan KM, Virmani R. Sudden cardiac death associated with isolated congenital coronary artery anomalies. J Am Coll Cardiol. 1992; 20(3): 640-7[PubMed]
  • 8. Ten Kate GJ, Weustink AC, de Feyter PJ. Coronary artery anomalies detected by MSCT-coronary angiography in the adult. Neth Heart J. 2008; 16(11): 369-75[PubMed]
  • 9. Grünenfelder J, Zünd G, Vogt PR, Turina MI. Aortopulmonary window with anomalous origin of the right coronary artery. Ann Thorac Surg. 1999; 67(1): 233-5[DOI]
  • 10. McMahon CJ, DiBardino DJ, Undar A, Fraser CD Jr. Anomalous origin of left coronary artery from the right pulmonary artery in association with type III aortopulmonary window and interrupted aortic arch. Ann Thorac Surg. 2002; 74(3): 919-21[PubMed]
  • 11. Izumoto H, Ishihara K, Fujii Y, Oyama K, Kawazoe K. AP window and anomalous origin of right coronary artery from the window. Ann Thorac Surg. 1999; 68(2): 557-9[PubMed]
  • 12. Morell VO, Feccia M, Cullen S, Elliott MJ. Anomalous coronary artery with tetralogy of Fallot and aortopulmonary window. Ann Thorac Surg. 1998; 66(4): 1403-5[PubMed]
  • 13. Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA, et al. ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2008; 52(23)-263[DOI][PubMed]
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