Key result
CT angiography reveals a previously unreported total anomalous origin of both coronary arteries with aortopulmonary window.
Why the study?
The association of anomalous origin of both right and left main coronary arteries from the pulmonary trunk with aortopulmonary window and an isolated left subclavian artery had not been previously reported.
This case report describes a previously unreported association of anomalous origin of both coronary arteries from the pulmonary trunk with an aortopulmonary window and isolated left subclavian artery.
Raises awareness of this novel anomaly in complex congenital cases; leaves open questions on embryology and management.
We hereby present the case of anomalous origin of both right and left main coronary arteries from the pulmonary trunk in a young patient with aortopulmonary window and an isolated left subclavian artery, diagnosed on computed tomographic angiography. To the best of our knowledge, this unique association has not been reported previously.
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Ojha et al. (2025) studied this question. Total anomalous origin of both coronary arteries from the pulmonary trunk combined with an aortopulmonary window is a previously unreported congenital anomaly diagnosed via CT angiography.
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