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Vascular aneurysm producing divided right atrium in a patient with pulmonary atresia and intact ventricular septum

Published online by Cambridge University Press:  19 August 2008

John C. Wood*
Affiliation:
Children's Heart Center, Division of Cardiology, Children's Hospital of Los Angeles, USC School of Medicine, Los Angeles, CAUSA
Miguel Reyes-Mugica
Affiliation:
Department of Pathology, Yale University School of Medicine, New Haven, ConnecticutUSA
Gary Kopf
Affiliation:
Department of Cardiothoracic Surgery, Yale University School of Medicine, New Haven, Connecticut, USA
*
Dr. John Wood, Childrens Heart center, Division of Cardiology, Childrens Hospital of Los Angeles, Mail Stop 34, Los Angeles, CA 90027, USA Tel: (323) 669–5470; Fax: (203) 669–7317; E-mail: [email protected]

Abstract

We describe a patient with pulmonary atresia and intact ventricular septum in whom the right atrium was divided by a vascular aneurysm located in the right atrioventricular groove. We postulate that the structure represents an aneursymally dilated right coronary artery taking anomalous origin from the pulmonary trunk, with fistulous communication to the right atrium. We discuss the findings relative to concepts of development of the coronary arteries in normal hearts and in pulmonary atresia with an intact ventricular septum.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2000

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References

1.Kauffman, SL, Anderson, DH. Persistent venous valves, malde velopment of the right heartand coronary artery-ventricular communications. Am Heart J 1962; 66:664669.CrossRefGoogle Scholar
2.Schutte, DA, Rowland, DG, Allen, HD, Bharati, S. Prominent venous valves in hypoplastic right hearts. Am Heart J 1997;134:527531.Google Scholar
3.Conte, G, Pellegrini, A. On the development of the coronary arteries in human embryos, stages 14–19. Anat & Embryol 1984; 169:209218.CrossRefGoogle ScholarPubMed
4.Hirakow, R. Development of the cardiac blood vessels in staged human embryos. Acta Anat 1983; 115:220230.CrossRefGoogle ScholarPubMed
5.Bogers, AJJC, Gittenberger-de Groot, AC, Dubbeldam, JA, Huysmans, HA. The inadequacy of existing theories on devel opment of the proximal coronary arteries and their connexions with the arterial trunks. Int J Cardiol 1988; 20: 117123.CrossRefGoogle Scholar
6.Ho, SY, Carvalho, JS, Sheffield, E. Anomalous origin of sincle coronary artery in association with pulmonary atresia. Int J Cardiol 1988; 20:125128.Google Scholar
7.Gerlis, LM, Ho, SY, Milo, S. Three anomalies of the coronary arteries co-existing in a case of pulmonary atresia with intact ventricular septum. Int J Cardiol 1990; 29:9395.CrossRefGoogle Scholar
8.Gittenberger-de Groot, AC, Sauer, U, Bindl, L, Babic, R, Essed, CE, Buhlmeyer, K. Competition of coronary arteries and ventriculo-coronary artery communications in pulmonary arteryatresia with intact ventricular septum. Int J Cardiol 1988; 18:243258.CrossRefGoogle ScholarPubMed
9.Calder, AL, Sage, MD. Coronary arterial abnormalities in pulmonary atresia with intact ventricular septum. Am J Cardiol 1986; 59:436442.CrossRefGoogle Scholar
10.Freedom, R. Pulmonary atresia with intact ventricular septum. Futura Publishing Company, Mt. Kisco, 1989 (pp. 3774).Google Scholar