title: An unusual combination of an anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) and a right coronary artery system with two separate ostia from the aorta in an adult.
abstract: We describe a patient with an infrequent combination of variants in both the right and the left coronary arterial ostia, namely a combination of two separate right coronary artery (RCA) ostia from the aorta, and an anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). To our knowledge, such a combination has not been previously reported. Based on published statistics for individual variants, such a combination is expected to occur approximately once for every 500,000 to one million live births. ALCAPA and dual RCA anatomy was characterized in our patient by echocardiography, conventional angiography, and multidetector computed tomography before and after Takeuchi repair.
authors.affiliation: Department of Medicine, New Jersey Medical School, Newark, New Jersey, USA.
authors.forename: Yuliya
authors.initials: Y
authors.lastname: Kats
authors.forename: Pallavi
authors.initials: P
authors.lastname: Solanki
authors.forename: Alfonso H
authors.initials: AH
authors.lastname: Waller
authors.forename: Pierre D
authors.initials: PD
authors.lastname: Maldjian
authors.forename: Kamran
authors.initials: K
authors.lastname: Hamirani
authors.forename: Steve C
authors.initials: SC
authors.lastname: Tsai
authors.forename: Vivek
authors.initials: V
authors.lastname: Dhruva
authors.forename: Marc
authors.initials: M
authors.lastname: Klapholz
authors.forename: Muhamed
authors.initials: M
authors.lastname: Saric
mesh_terms: D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging*; D000328:Adult; D001011:Aorta / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D004452:Echocardiography; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging*