Abnormal Left Coronary Artery from Pulmonary (ALCAPA) is a rare congenital coronary anomaly in which the left main artery arises pulmonary trunk, resulting to right shunt. ALCAPA associated with septal defects and patent ductus arteriosus. The case discussed had secundum atrial defect. Sudden cardiac death feared complication. We discuss hemodynamics of this shunt combination outline its manage...

A 73-year-old woman presented to our institution with an abnormal shadow on chest radiography. The patient was a nonsmoker and enjoyed good past health. There were no constitutional symptoms. She was completely asymptomatic during exercise and at rest. An ECG (Figure 1) showed normal sinus rhythm. A posteroanterior view of the chest radiograph (Figure 2) showed a well-circumscribed roundish mas...

A 68-year-old woman with long-standing severe pulmonary arterial hypertension was referred for coronary catheterization for investigation of worsening exertional dyspnea associated with angina. Coronary angiography revealed critical ostial left main coronary artery (LMCA) stenosis. Given the history of severe pulmonary arterial hypertension, simultaneous angiography of the LMCA and main pulmona...

Single coronary anomalies are one of the rarest variants of coronary anatomy. Widespread use of coronary CT angiography has made it possible to diagnose these variants with increasing incidence. We report two cases of single right coronary trunk with different anatomic course of the left coronary artery; one anterior to the main pulmonary artery and the second between the main pulmonary artery ...

Savacool and Charr’ in 1941, reviewed the literature for one hundred cases of pulmonary artery thrombosis of the main stem or its main branches. In their series of cases nineteen were reported to have had pulmonary tuberculosis as a primary diagnosis. Perusing the literature through to 1946 failed to disclose any further reports of pulmonary artery thrombosis. The following case is reported bec...

BACKGROUND Additional antegrade pulsatile pulmonary blood flow obtained by leaving the main pulmonary artery patent during bidirectional cavopulmonary shunt has been shown to give additional benefits to the bidirectional Glenn cavopulmonary anastomosis. We retrospectively evaluated our 20-patient pulsatile Glenn series in order to find out whether these salutary effects were valid or not. MET...

We present the case of a 41-year-old woman who presented with chest pain. CT for possible pulmonary embolism showed a mass filling the left main pulmonary artery, with imaging features suggestive of pulmonary angiosarcoma. Open thoracotomy for excision of the mass revelaed no mass, only evidence of a chronic pulmonary thrombus of the left pulmonary artery. We conclude that the radiologic featur...

Six patients with anomalous origin of one pulmonary artery from the ascending aorta were reviewed. Four had anomalous origin of the right pulmonary artery and two had anomalous origin of the left pulmonary artery from the ascending aorta. Two of these six patients had tetralogy of Fallot. Two patients died in the first month of life. No changes in the pulmonary vasculature were seen at necropsy...

Of 12 patients with angiographically absent pulmonary artery, 11 were investigated surgically. The previously occult pulmonary artery was found in 10 patients, in five of whom a vestige of an intrapericardial artery was present and in five the artery was patent only at the hilus, a gap existing between the main pulmonary artery and the hilar vessel, and no artery was found in one. All patients ...

BACKGROUND Pulmonary artery aneurysms are a rare condition, frequently associated with pulmonary hypertension. However, the evolution and treatment of this pathology is still not clear. CASE PRESENTATION The authors report a case of a 65-year old patient with pulmonary artery aneurysm associated with pulmonary arterial hypertension. Due to a positive vasoreactivity test, treatment with calciu...