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Anomalous Origin of the Circumflex or Left Anterior Descending Artery From the Pulmonary Artery. 2020
Timothy M Guenther, and
Elan A Sherazee, and
Joshua D Gustafson, and
Curtis J Wozniak, and
Julie Brothers, and
Gary Raff
Department of Surgery, 70083University of California, Davis, Sacramento, CA, USA.
Anomalous origin of the circumflex or left anterior descending artery from the pulmonary artery (ACxAPA and ALADAPA, respectively) are rare congenital coronary anomalies with clinical presentation varying from an asymptomatic murmur to sudden cardiac arrest. A systematic review was performed, and 46 cases of ACxAPA and 51 cases of ALADAPA were identified in 87 articles. Data were collected and analyzed from each case. A better understanding of ACxAPA/ALADAPA can provide information to providers who encounter this lesion as well as provide insight into coronary artery development which may help in the understanding of coronary artery anomalies.
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