Rare anomaly of the coronary vessels: anomalous origin anterior descending artery from pulmonary artery

Podzolkov Vladimir Petrovich, Petrosyan Karen Valerjevitch, Dadabaev Gulamzhan M., Karaev Aslan Viktorovich

Aim: description of the case of the diagnosis of a rare coronary artery anomaly - the anterolateral branch of the left coronary artery from the pulmonary artery. Materials and methods. Patient Sh., 5 years old got admitted to A.N. Bakoulev National Medical Research Center of Cardiovascular Surgery in a planned manner. From the anamnesis it is known: she does not make any complaints, she often has colds from her mother's words, when she undergoes routine clinical examination, according to echocardiography, coronary pulmonary fistula is suspected. Independently turned to the polyclinic was hospitalized for the purpose of instrumental diagnosis and verification of the diagnosis. The patient was carried out echocardiography, selective coronary angiography and multispiral computed tomography. Results. Based on the clinical picture of the disease, objective and instrumental examinations were diagnosed: Congenital heart disease. Abnormal departure of LAD from the trunk of the pulmonary artery. The main diagnostic method allowed to diagnose was selective coronary angiography: the type of dominant blood supply of the myocardium is right. The envelope artery departs from the left coronary sinus. The anterior and interventricular branch is filled through intersystem collaterals from the right coronary artery, and there is an ejection of contrast material into the pulmonary artery trunk.

Keywords:congenital malformation, coronary arteries, rare anomaly, coronaroangiography.