title: Anomalous origin of the right coronary artery from the pulmonary artery and mitral regurgitation in a newborn.
abstract: Anomalous origin of the right coronary artery (RCA) from the pulmonary artery (PA) is a rare congenital anomaly, and only 28 cases have been reported in the pediatric age group. We describe the case of an infant who had progressive mitral regurgitation and papillary muscle dysfunction in association with anomalous origin of the RCA from the PA. The diagnosis was made by color flow Doppler, confirmed by angiography, and the case was successfully corrected by reimplantation of the anomalous RCA to the aorta. This is only the second case of anomalous origin of the RCA from the PA diagnosed in infancy without an associated congenital anomaly of the heart and great vessels.
authors.affiliation: Division of Cardiology, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit 48201, USA.
authors.forename: R E
authors.initials: RE
authors.lastname: Villavicencio
authors.forename: T
authors.initials: T
authors.lastname: Forbes
authors.forename: H L
authors.initials: HL
authors.lastname: Walters
authors.forename: Z Q
authors.initials: ZQ
authors.lastname: Farooki
mesh_terms: D000792:Angiography; D006348:Cardiac Surgical Procedures / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008944:Mitral Valve Insufficiency / Q000175:diagnosis* / Q000209:etiology*; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D018615:Ultrasonography, Doppler, Color