Work

From Chest Pain to Recovery: A Rare Case of Anomalous origin of the circumflex artery from the pulmonary artery in a Child and the Role of Timely Surgical Intervention

Year: 2025

Type: article

Abstract: This report highlights the diagnostic challenges and successful surgical management in a symptomatic pediatric case with anomalous origin of the circumflex artery from the pulmonary artery. A 4-year-old boy presented emergently with dyspnea and substernal pain. Coronary angiography identified the circumflex artery originating anomalously from the right pulmonary artery. Emergency surgical reimplantation to the aorta was performed, with subsequent normalization of cardiac function (EF 67 % at 3-month follow-up). Although exceptionally rare, anomalous origin of the circumflex artery from the pulmonary artery requires high clinical suspicion in pediatric patients with ischemic symptoms. Early anatomical correction yields excellent outcomes, as demonstrated in this case.

Source: Journal of the Saudi Heart Association

DOI: 10.37616/2212-5043.1462

Authors: A.V. Kauk, Serezha Manukian, A.N. Arkhipov, A.V. Voitov, I.A. Soynov

Institutions: Ministry of Health of the Russian Federation, Meshalkin National Medical Research Center

Language: English

Topic: Coronary Artery Anomalies

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

Funder: Ministry of Health of the Russian Federation