Anomalous origin of right coronary artery from pulmonary artery with aneurysmal coronary arteries

Anomalies of the coronary arteries -- especially their abnormal origin from the pulmonary artery (ARCAPA) trunk -- are among the least common. They’re also the most dangerous of congenital heart defects with an incidence of 0.002% in the general population [Williams 2006]. The diagnosis exceedingly is difficult because anatomical abnormalities of the coronary arteries are subtle. We present a case of an anomalous origin of the right coronary artery.

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Aortopulmonary window with anomalous right coronary artery from the pulmonary artery. Case report and literature review

Cardiology in the Young ◽

10.1017/s1047951119002543 ◽

2019 ◽

Vol 30 (1) ◽

pp. 47-49

Author(s):

Ali A. Alakhfash ◽

Mohamad Tagelden ◽

Abdulrahman Almesned ◽

Abdullah Alqwaiee

Keyword(s):

Coronary Artery ◽

Pulmonary Artery ◽

Coronary Arteries ◽

Right Coronary Artery ◽

Premature Neonate ◽

Anomalous Origin ◽

Aortopulmonary Window ◽

Successful Operation ◽

The Right ◽

Careful Assessment

AbstractAortopulmonary window is a rare congenital heart lesion. It might be associated with other CHDs, as well as with anomalous origin of the coronary arteries. Anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is the most commonly described coronary artery anomaly in association with aortopulmonary window. We are describing a premature neonate who was diagnosed to have aortopulmonary window and ARCAPA immediately after birth, and had a successful operation at the age of 4 months. This report highlights the importance of very careful assessment of the coronary arteries in patients with aortopulmonary window.

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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

European Journal of Echocardiography ◽

10.1016/j.euje.2005.10.010 ◽

2006 ◽

Vol 7 (5) ◽

pp. 379-382 ◽

Cited By ~ 12

Author(s):

S GREENWAY ◽

T BRADLEY ◽

C CALDARONE ◽

N SILVERMAN ◽

F HANLEY ◽

...

Keyword(s):

Coronary Artery ◽

Pulmonary Artery ◽

Coronary Arteries ◽

Right Coronary Artery ◽

Anomalous Origin ◽

Aortopulmonary Window ◽

Echocardiographic Evaluation ◽

Conotruncal Anomalies ◽

The Right

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Misleading echocardiographic diagnosis of anomalous origin of the right coronary artery from the pulmonary artery

Cardiology in the Young ◽

10.1017/s1047951100004455 ◽

1997 ◽

Vol 7 (4) ◽

pp. 434-437

Author(s):

G. Michielon ◽

G. Stellin ◽

O. Milanesi

Keyword(s):

Coronary Artery ◽

Coronary Angiography ◽

Pulmonary Artery ◽

Coronary Arteries ◽

Right Coronary Artery ◽

Main Pulmonary Artery ◽

Anomalous Origin ◽

The Right ◽

Complete Investigation

AbstractWe report on a case of a newborn with echocardiographic diagnosis of anomalous origin of the right coronary artery from the main pulmonary artery. Intraoperative inspection demonstrated a proximal anomalous course of the right coronary artery but a normal origin from the right sinus of Vansalva of the Aorta. We suggest a complete investigation, including coronary angiography, when isolated and rare congenitaj malformations of the coronary arteries are suspected.

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Heart failure in an elderly man: where is that coronary?

Cardiology in the Young ◽

10.1017/s104795112100007x ◽

2021 ◽

pp. 1-4

Author(s):

Charlie J. Sang ◽

Stephen A. Clarkson ◽

Elizabeth A. Jackson ◽

Firas Al Solaiman ◽

Marc G. Cribbs

Keyword(s):

Heart Failure ◽

Coronary Artery ◽

Pulmonary Artery ◽

Medical Therapy ◽

Coronary Arteries ◽

Right Coronary Artery ◽

Adult Population ◽

Anomalous Coronary ◽

Anomalous Coronary Arteries

Abstract Anomalous coronary arteries from the pulmonary artery are uncommon causes of heart failure in the adult population. This case demonstrates the unusual presentation in a patient with anomalous right coronary artery from the pulmonary artery and discusses the complex pathophysiology of this lesion and the role of guideline-directed medical therapy in the management of these patients.

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A right coronary artery aneurysm 16 years after surgical repair of anomalous origin of the right coronary artery from the pulmonary artery

Interactive CardioVascular and Thoracic Surgery ◽

10.1093/icvts/ivy356 ◽

2019 ◽

Vol 29 (1) ◽

pp. 157-158

Author(s):

Akira Furutachi ◽

Kojiro Furukawa ◽

Aiko Komatsu ◽

Eijiro Nogami

Keyword(s):

Coronary Artery ◽

Pulmonary Artery ◽

Right Coronary Artery ◽

Surgical Repair ◽

Artery Aneurysm ◽

Anomalous Origin ◽

Artery Graft ◽

Long Term Follow Up ◽

The Right

Abstract Anomalous origin of the right coronary artery (RCA) from the pulmonary artery is a very rare congenital heart disease, and several reports have described long-term events after surgery. We report the case of a 46-year-old woman who underwent reimplantation of the RCA for anomalous origin of the right coronary artery from the pulmonary artery 16 years ago. An RCA aneurysm gradually developed and dilated over time, and we resected the aneurysm and also grafted the right gastroepiploic artery graft to the distal RCA. Careful long-term follow-up is required to avoid overlooking such a rare but life-threatening complication after surgical repair of anomalous origin of the right coronary artery from the pulmonary artery.

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