{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T21:00:08Z","timestamp":1793048408542,"version":"4.5.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,3,12]],"date-time":"2020-03-12T00:00:00Z","timestamp":1583971200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Anomalous origin of a coronary artery from the pulmonary trunk is a small group of rare congenital anomalies present in up to 1% of the population. These patients, in absence of an adequate collateral supply, may present with congestive heart failure secondary to ischaemia, arrhythmia, or sudden cardiac death in up to 90% of cases within the first months of life.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We present four cases diagnosed in adulthood over 10\u2009years in two high-volume centres. The first patient presented with dyspnoea and orthopnoea. The second with chest pain and episodes of non-sustained ventricular tachycardia. The third patient presented during her third pregnancy with chest pain, palpitations, and arrhythmia (non-sustained ventricular tachycardia). The fourth patient presented with sudden cardiac death.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>In all cases with anomalous origin of coronary arteries, it is recommendable to consider surgical correction to avoid the progression of ischaemia, congestive heart failure, arrhythmia, and sudden death.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa047","type":"journal-article","created":{"date-parts":[[2020,3,12]],"date-time":"2020-03-12T14:28:11Z","timestamp":1584023291000},"page":"1-5","source":"Crossref","is-referenced-by-count":15,"title":["Anomalous origin of coronary arteries from pulmonary artery in adults: a case series"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7855-9128","authenticated-orcid":false,"given":"Carlos Eduardo","family":"Vergara-Uzcategui","sequence":"first","affiliation":[{"name":"Interventional Cardiology Department, Clinico San Carlos University Hospital, Prof Martin Lagos S\/N, Madrid 28040, Spain"},{"name":"Cardiovascular Research Institute, University Hospital of the Andes, Venezuela"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7902-8038","authenticated-orcid":false,"given":"Barbara","family":"das Neves","sequence":"first","affiliation":[{"name":"Interventional Cardiology Department, Clinico San Carlos University Hospital, Prof Martin Lagos S\/N, Madrid 28040, Spain"},{"name":"Cardiovascular Research Institute, University Hospital of the Andes, Venezuela"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4040-4029","authenticated-orcid":false,"given":"Pablo","family":"Salinas","sequence":"first","affiliation":[{"name":"Interventional Cardiology Department, Clinico San Carlos University Hospital, Prof Martin Lagos S\/N, Madrid 28040, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3239-1910","authenticated-orcid":false,"given":"Antonio","family":"Fern\u00e1ndez-Ortiz","sequence":"first","affiliation":[{"name":"Interventional Cardiology Department, Clinico San Carlos University Hospital, Prof Martin Lagos S\/N, Madrid 28040, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1779-3102","authenticated-orcid":false,"given":"Iv\u00e1n J","family":"N\u00fa\u00f1ez-Gil","sequence":"first","affiliation":[{"name":"Interventional Cardiology Department, Clinico San Carlos University Hospital, Prof Martin Lagos S\/N, Madrid 28040, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,3,12]]},"reference":[{"key":"2020042405560340900_ytaa047-B1","doi-asserted-by":"crossref","first-page":"bcr2016214876","DOI":"10.1136\/bcr-2016-214876","article-title":"Anomalous 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in adulthood: varied clinical presentation, therapeutic approach and outcome","volume":"261","author":"Boutsikou","year":"2018","journal-title":"Int J Cardiol"},{"key":"2020042405560340900_ytaa047-B5","first-page":"2583918","article-title":"Anomalous origin of a right coronary artery from pulmonary artery","volume":"2018","author":"Rawala","year":"2018","journal-title":"Case Rep Cardiol"},{"key":"2020042405560340900_ytaa047-B6","doi-asserted-by":"crossref","first-page":"e121","DOI":"10.1016\/j.athoracsur.2011.06.010","article-title":"Mitral valve arcade with concomitant anomalous left coronary artery from the pulmonary artery","volume":"92","author":"Su","year":"2011","journal-title":"Ann Thorac Surg"},{"key":"2020042405560340900_ytaa047-B7","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1186\/1752-1947-8-170","article-title":"Anomalous origin of the left coronary artery from the pulmonary artery presenting as dilated cardiomyopathy: a case 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