Abstract
BackgroundAnomalous aortic origin of a coronary artery (AAOCA) is a rare congenital heart disease, characterized by the coronary artery inappropriately originates from the aorta. It is usually classified according to the sinus where the coronary artery arises from, while anomalous origin of the right coronary being the most common type.Case presentationIn this case report, we described a rare case of Tetralogy of Fallot (TOF) in a 1-year-old boy, who also had the anomalous right coronary artery that originated from the left coronary sinus without an intramural segment. Besides TOF repair, lateral pulmonary translocation was undertaken in order to avoid risks of myocardial ischemia.ConclusionWe successfully completed a one-stage operation consisting of TOF repair and pulmonary artery translocation in a 1-year-old boy. We advocated early operation of pulmonic translocation for AAOCA patients without an intramural segment instead of unroofing procedure.
Highlights
Anomalous aortic origin of a coronary artery (AAOCA) is a rare congenital heart disease, characterized by the coronary artery inappropriately originates from the aorta
We successfully completed a one-stage operation consisting of Tetralogy of Fallot (TOF) repair and pulmonary artery translocation in a 1-year-old boy
Studies have reported that the anomalous origin of right coronary artery (RCA) is more common than the anomalous origin of left coronary artery (LCA) [9], while the anomalous origin of LCA carries a higher risk of sudden cardiac death (SAD) [10]
Summary
We successfully completed a one-stage operation consisting of TOF repair and pulmonary artery translocation in a 1-year-old boy.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
