Coronary steal from an anomalous circumflex artery diagnosed 25 years after ventricular septal defect closure: a case report.

ABSTRACT:

Background

Association of anomalous origin of a coronary artery arising from pulmonary artery (PA) with other congenital heart defects, such as ventricular septal defects (VSDs), is uncommon. In such cases, coronary anomalies may be overlooked and underdiagnosed.

Case summary

We report a case of late diagnosis of a circumflex coronary artery arising from the right PA, 25 years after VSD-closure during infancy with a complicated post-operative course with severe left ventricular dysfunction. Eventually being discharged, she remained asymptomatic until reaching adulthood, when she developed atypical chest pain during moderate exertion initially with no further investigation being performed. The patient further developed palpitations and underwent a CT-scan, showing an anomalou

SUBMITTER: Provost B 

PROVIDER: S-EPMC12301549 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature