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European Journal of Echocardiography 2006 7(5):379-382; doi:10.1016/j.euje.2005.10.010
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Copyright © 2005, The European Society of Cardiology

Aortopulmonary window with anomalous origin of the right coronary artery from the pulmonary artery: Two cases highlighting the importance of complete pre-operative echocardiographic evaluation of the coronary arteries in all conotruncal anomalies

Steven C. Greenwaya, Timothy J. Bradleya,*, Christopher A. Caldaroneb, Norman H. Silvermanc, Frank L. Hanleyd and Jeffrey F. Smallhorna

aDivision of Cardiology, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario, Canada M5G 1X8
bDivision of Cardiovascular Surgery, Department of Surgery, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
cDivision of Cardiology, Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA
dDivision of Cardiovascular Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, California, USA

Received 29 June 2005; received in revised form 18 October 2005; accepted after revision 31 October 2005.

* Corresponding author. Tel.: +1 416 813 7610; fax: +1 416 813 7547. timothy.bradley{at}sickkids.ca


  Abstract

This report describes two infants with an aortopulmonary window in association with anomalous origin of the right coronary artery from the pulmonary artery. In both cases the diagnosis was made pre-operatively by transthoracic echocardiography, with the initial clue being extensive collateral flow within the myocardium. In each case there was surgical confirmation of the echocardiographic findings. These two cases demonstrate that coronary artery evaluation should be an integral part of every new echocardiographic evaluation, particularly in the setting of conotruncal anomalies.

Keywords: Aortopulmonary window; Anomalous origin of the coronary artery from the pulmonary artery; Echocardiography


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