RESUMO
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.
Assuntos
Anormalidades Múltiplas/diagnóstico por imagem , Aorta/anormalidades , Aorta/diagnóstico por imagem , Anomalias dos Vasos Coronários/diagnóstico por imagem , Vasos Coronários/diagnóstico por imagem , Artéria Pulmonar/anormalidades , Artéria Pulmonar/diagnóstico por imagem , Adulto , Ecocardiografia , Humanos , MasculinoRESUMO
We present a case of a high brachiocephalic artery extending as far superiorly as the thyroid gland. Recognition of this rare anomaly is necessary to avoid potential catastrophic hemorrhage or other complications during percutaneous and surgical procedures on the trachea and neck.