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

1997 ◽  
Vol 7 (4) ◽  
pp. 434-437
Author(s):  
G. Michielon ◽  
G. Stellin ◽  
O. Milanesi

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.

2019 ◽  
Vol 22 (4) ◽  
pp. E308-E309
Author(s):  
He Fan ◽  
Weng Jiakan ◽  
He Qicai ◽  
Qian Ximing ◽  
Chen Huaidong

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.


2019 ◽  
Vol 30 (1) ◽  
pp. 47-49
Author(s):  
Ali A. Alakhfash ◽  
Mohamad Tagelden ◽  
Abdulrahman Almesned ◽  
Abdullah Alqwaiee

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.


Angiology ◽  
1994 ◽  
Vol 45 (4) ◽  
pp. 325-328 ◽  
Author(s):  
Carl Gustav Dahlström ◽  
Christer Hellekant ◽  
Bengt W. Johansson ◽  
Ulf Nyman

1998 ◽  
Vol 21 (10) ◽  
pp. 773-776 ◽  
Author(s):  
Vahid Hekmat ◽  
Sudha M. Rao ◽  
Manoj Chhabra ◽  
Mario Chiavarelli ◽  
John E. Anderson ◽  
...  

2014 ◽  
Vol 41 (1) ◽  
pp. 51-54 ◽  
Author(s):  
Jeffrey A. Robinson ◽  
Susan G. MacLellan-Tobert ◽  
Justin M. Horner ◽  
Frank Cetta

Anomalous coronary arteries are rare in the general population. We report the case of a term neonate who underwent an echocardiogram to evaluate a possible patent ductus arteriosus. Unexpectedly, an apparent anomalous origin of the right coronary artery from the main pulmonary artery was detected by surface 2-dimensional transthoracic echocardiography and color-flow Doppler imaging. Because ventricular size and function were normal, the patient ultimately underwent cardiac catheterization to verify the anatomy before proposed surgery. Angiograms showed that the right coronary artery arose from the left anterolateral portion of the mid-ascending aorta. The patient did not require surgery. This case report illustrates pitfalls that can occur in the diagnosis of coronary artery anomalies.


2016 ◽  
Vol 8 (6) ◽  
pp. 745-749 ◽  
Author(s):  
Jaydip Ramani ◽  
Chandrasekaran Ananthanarayanan ◽  
Jigisha Pujara ◽  
Bhavesh Thakkar ◽  
Imelda Jain ◽  
...  

Anomalous origin of the right coronary artery from the main pulmonary artery (anomalous right coronary artery from pulmonary artery; ARCAPA) is a rare congenital anomaly. Here, we present an unusual case of anomalous right coronary artery from the main pulmonary artery with proximal intramural course.


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