Correcting a rare Congenital Coronary Anomaly in an Adult—A Case Report

2019 ◽  
Vol 11 (2) ◽  
pp. 244-246
Author(s):  
John Duggan ◽  
William Parker ◽  
Junewai L. Reoma ◽  
Samuel Richey ◽  
Charles Huddleston
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Rare Condition ◽  
Active Duty ◽  
Service Member ◽  
Incidental Discovery ◽  
The Right ◽  
Congenital Coronary Anomaly ◽  
Coronary Dilation

Anomalous origin of the right coronary artery from the pulmonary artery is an extremely rare condition with an uncertain natural history. Here, we present an otherwise healthy active duty service member who was found to have anomalous right coronary artery arising from the pulmonary artery as an incidental discovery during a workup for possible pulmonary embolus. We describe a preoperative workup which showed dilation of the coronaries and evidence of ischemia. Operative technique for restoration of a two-vessel coronary system is described. Postoperative imaging demonstrated reduction in the coronary dilation and resolution of ischemia.

scholarly journals Preoperative Assessment of Anomalous Right Coronary Artery Arising from the Main Pulmonary Artery

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Marshall W. Winner ◽  
Subha V. Raman ◽  
Benjamin C. Sun ◽  
Juan A. Crestanello
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Artery Bypass ◽  
Main Pulmonary Artery ◽  
Rare Condition ◽  
Preoperative Assessment ◽  
Anomalous Coronary Artery ◽  
The Right ◽  
Anomalous Coronary

Anomalous origin of the right coronary artery from the pulmonary artery is a rare condition. Two cases are presented in this paper. One case was treated by ligation and coronary artery bypass. The other was treated by direct reimplantation of the anomalous coronary artery into the aorta.

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

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.

Repair of Anomalous Right Coronary Artery From the Pulmonary Artery Using the Modified Trapdoor Technique

2019 ◽  
Vol 10 (2) ◽  
pp. 192-196
Author(s):  
Srujan Ganta ◽  
Megan Vanderploeg ◽  
Minoo Kavarana
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Modified Technique ◽  
Average Hospital ◽  
Anatomical Characteristics ◽  
Scan Data ◽  
Coronary Tortuosity ◽  
Collateral Vessels ◽  
The Right

Background: Anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is rare. Unique anatomical characteristics observed include tethering secondary to the extensive collateral vessels, severe native coronary tortuosity, and massive dilation of the coronary arteries. This requires specific technical consideration to ensure safe translocation. Methods: A single-center retrospective review of six patients with ARCAPA was performed. Echocardiographic and computerized tomography scan data were analyzed for anatomical and functional cardiac characteristics. Operative techniques were analyzed, which reflected an evolution toward a modified-trapdoor technique. Results: Five children presented with asymptomatic murmurs and one adult patient with unstable angina. All patients underwent successful surgical correction. The modified trapdoor technique provided the most ideal geometry for coronary transfer secondary to its anatomical characteristics. Two patients had coronary button transfers above the sinotubular junction using vertical stab incisions, one had the button implanted after excising part of the aortic wall, and last three patients had modified trapdoor incisions. Mean cardiopulmonary bypass and cross-clamp times were 170 ± 27 minutes and 99.5 ± 29 minutes respectively. The average hospital stay was five days and there were no mortalities. Conclusions: Anomalous right coronary from the pulmonary artery’s unique anatomical characteristics require a coronary transfer technique different from that performed in aortic root replacement. In some respects, our modified technique resembles coronary transfers used in difficult arterial switch operations. The use of a modified trapdoor incision simplifies coronary transfer and may minimize coronary kinking and subsequent complications related to coronary transfer.

scholarly journals Anomalous origin of the right coronary artery from the pulmonary artery: a rare finding in an asymptomatic man

2011 ◽  
Vol 12 (11) ◽  
pp. 884-884 ◽  
Author(s):  
J. A. Petersen ◽  
C. A. Karlo ◽  
H. Alkadhi ◽  
O. Gaemperli ◽  
P. Biaggi
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Anomalous Origin ◽  
Rare Finding ◽  
The Right

scholarly journals Anomalous origin of the right coronary artery from the pulmonary artery diagnosed in an adult: A case report

2014 ◽  
Vol 10 (3) ◽  
pp. 111-114 ◽  
Author(s):  
Keisuke Nakabayashi ◽  
Hisayuki Okada ◽  
Yuji Iwanami ◽  
Ryo Sugiura ◽  
Toshiaki Oka
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Anomalous Origin ◽  
The Right

Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery

CHEST Journal ◽  
1973 ◽  
Vol 63 (2) ◽  
pp. 294-296 ◽  
Author(s):  
George S. Eugster ◽  
Philip B. Oliva
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Anomalous Origin ◽  
The Right
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