Repair of anomalous origin of right pulmonary artery in Tetralogy of
Fallot with anomalous coronary artery
Abstract
We present an unusual combination of lesions in an eight months old
child diagnosed with Tetralogy of Fallot (TOF), Anomalous origin of
Right Pulmonary artery (AORPA) and anomalous coronary artery (ACA)
crossing the pulmonary annulus. The association of AOPA and TOF is
extremely rare with an incidence of 0.4%. (1) The incidence of
anomalous coronary artery in TOF is 10.3%. (3) However a combination of
all three lesions poses challenges to surgical repair and has not been
previously reported.