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European Heart Journal 1985 6(6):548-551;
Copyright © 1985 by the European Society of Cardiology.
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© 1985 The European Society of Cardiology

Anomalous origin of an accessory coronary artery from the main pulmonary artery: Report of a case with arrhythmia, precordial pain and left heart failure

P. DEPELCHIN*,, J.-P. BRION{dagger} and J. SOBOLSKI*

*Department of Medical Cardiology, Höpital Acadèmique Erasme, Université Libre de Bruxelles Bruxelles, Belgium
{dagger}Department of Roentgenology, Höpital Acadèmique Erasme, Université Libre de Bruxelles Bruxelles, Belgium

Received 11 October 1984; revised 19 February 1985; .

Address for reprints: Pierre Depelchin, MD, Department of Medical Cardiologie. Hopital Academique Erasme, 808 route de Lennik, 1070, Bruxelles, Belgium.

Abstract

Anomalous origin of the coronary arteries from the main pulmonary artery is a rare congenital malformation. While this anomaly rarely produces cardiac symptoms, the more frequently encountered anomalous left coronary artery arising from the main pulmonary artery is poorly tolerated, the majority of patients dying in infancy. This report describes a symptomatic sixty-yearold man with anomalous posterior descending coronary artery arising from the pulmonary trunk and details the angiographic findings.

Key Words: Accessory coronary artery • coronary arteriography


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