scholarly journals Anomalous Right Coronary Artery Arising from the Pulmonary Artery with Associated Enlargement of the Left Coronary Artery: A Case Report

2021 ◽  
Vol 24 (2) ◽  
pp. E293-E295
Author(s):  
Yueqiu Su ◽  
Zhongze Cao ◽  
Yunfei Ling ◽  
Yong jun Qian
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Left Coronary Artery ◽  
Female Child ◽  
Ascending Aorta ◽  
Coronary Anomalies ◽  
The Right ◽  
Congenital Coronary Anomalies

An anomalous right coronary artery arising from the pulmonary artery (ARCAPA) is among the least common form of congenital coronary anomalies, accounted for the incidence of only 0.002% in the general population. Most ARCAPA patients have no symptoms but may develop myocardial ischemia. Surgical correction of the anomaly is recommended to prevent subsequent fatal outcomes. Here, we reported a case of a 2-year-old female child initially hospitalized for diarrhea, but later diagnosed with an ARCAPA through echocardiogram and computed tomography. Surgical reimplantation of the right coronary artery from the pulmonary artery to the ascending aorta was performed. The patient recovered well from the surgery with no postoperative complications. In the follow-up assessments, normal coronary function and myocardial effusion were demonstrated.

scholarly journals ANOMALOUS AORTIC ORIGIN OF THE LEFT MAIN CORONARY ARTERY ASSOCIATED WITH ARTERIAL COMPRESSION - CASE REPORT

2020 ◽  
Author(s):  
Davi Tenório ◽  
Leonardo Miana ◽  
Antonio Carlos de Almeida Barbosa Filho ◽  
Monica Gonzales Coronel ◽  
Gustavo Guerreiro ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Left Coronary Artery ◽  
Left Main Coronary Artery ◽  
Postoperative Recovery ◽  
Shortness Of Breath ◽  
Left Main ◽  
External Compression ◽  
The Right

Anomalous Aortic Origin of Coronary Artery (AAOCA) is a rare finding, with varied presentation and symptomatology. Increasingly recognized by cardiac imaging, when found it raises questions about the appropriate approach and management. We present a case of an 11-year-old female who presented with episodes of shortness of breath, angina and syncope during exercise. Further investigation demonstrated episodes of nonsustained ventricular tachycardia on Holter and coronary angiotomography revealed that the left coronary artery had an anomalous origin from the right cusp with initial short intramural segment and significant external compression in its initial course between the aorta and the pulmonary artery. Patient was submitted to surgical correction with dissection of left coronary artery posterior to the pulmonary artery, coronary arteriotomy, roof ampliation with autologous pericardium and creation of neo-ostium in aorta. Patient had satisfactory postoperative recovery, was discharged on the fifth day post op, and remains asymptomatic after six months follow-up. Herein we present surgical video and postoperative echo and CT scan.

scholarly journals Anomalous origin of the left coronary artery from the pulmonary artery in a patient of advanced age: a case report and analysis

2019 ◽  
Vol 47 (6) ◽  
pp. 2687-2693
Author(s):  
QiongYa Qiu ◽  
JinXiu Yang ◽  
XingXiang Wang
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Left Coronary Artery ◽  
Mechanical Valve ◽  
Anomalous Origin ◽  
Mitral Valve Plasty ◽  
History Of ◽  
Anatomic Results ◽  
The Right

A 61-year-old Chinese man presented with a nearly 30-year history of an anomalous origin of the left coronary artery. He had been diagnosed with an anomalous origin of the left coronary artery in 1989. He then underwent regular echocardiographic examinations and it was found that his heart was gradually enlarging. After a >20-year asymptomatic period, he developed recurrent chest discomfort and palpitation. Coronary computed tomography angiography suggested that the left coronary artery anomaly originated from the pulmonary artery; additionally, the right coronary artery was tortuous and thickened. Coronary angiography showed that the right coronary artery was huge and buckling. The patient underwent corrective surgery of the anomalous origin of the left coronary artery from the pulmonary artery, aortic valve mechanical valve replacement, mitral valve plasty, and tricuspid valve plasty in Fuwai Hospital (National Center of Cardiovascular Disease of China), and the anatomic results of the surgery were good.

Anomalous Origin of the Left Coronary Artery: The Physiologic Defect and Suggested Surgical Treatment

PEDIATRICS ◽  
1958 ◽  
Vol 22 (5) ◽  
pp. 909-909
Keyword(s):  
Coronary Artery ◽  
Surgical Treatment ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Left Coronary Artery ◽  
Anomalous Origin ◽  
Single Coronary Artery ◽  
Artery Ligation ◽  
Perfusion Studies ◽  
The Right

The majority of infants born with an anomalous origin of the left coronary artery from the pulmonary artery die within the first year of life. This malformation produces a clinical picture of episodes of sweating, cyanosis and pallor usually following feeding. Associated findings are gross cardiac enlargement and electrocardiographic evidence of myocardial ischemia. Perfusion studies at necropsy indicate that extensive anastomoses allow free passage of blood from the normal right coronary artery to the left. There now appears evidence that flow through the anomalous left coronary artery is into the pulmonary artery rather than away from it. Thus although there is oxygenated blood in the left coronary artery, it does not reach the myocardium but passes instead to the low-resistance circuit of the pulmonary artery. Ligation of the aberrant vessel at its origin would prevent retrograde flow and allow perfusion of the left ventricle by blood supplied through the anastomoses from the right coronary artery. This would in effect convert the anomaly into that of a single coronary artery arising from the aorta, which situation is usually compatible with a normal life expectancy. Preliminary experience with this suggested surgical treatment appears encouraging in one of the cases reported.

Anomalous right coronary artery from the pulmonary artery (ARCAPA), and aberrant right subclavian artery in a 2-month infant with heart failure

2013 ◽  
Vol 24 (5) ◽  
pp. 935-937 ◽  
Author(s):  
Mohammad Mahdavi ◽  
Koorosh Vahidshahi ◽  
Ramin Baghai Tehrani ◽  
Hamidreza Poor Ali-Akbar ◽  
Mohammad Rad Godarzi
Keyword(s):  
Heart Failure ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Subclavian Artery ◽  
Right Coronary Artery ◽  
Male Infant ◽  
Aberrant Right Subclavian Artery ◽  
Infancy And Childhood ◽  
The Right

AbstractAnomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is a very rare congenital heart anomaly. Most of the cases are asymptomatic during infancy and childhood. We report ARCAPA associated with aberrant right subclavian artery in a 2-month male infant presenting with heart failure. We used computed tomography angiography for confirming the diagnosis and also for post-operative follow-up.

Repair of Anomalous Origin of Right Coronary Artery from the Pulmonary Artery

2007 ◽  
Vol 15 (5) ◽  
pp. 418-421 ◽  
Author(s):  
Hong-Wei Guo ◽  
Jian-Ping Xu ◽  
Yun-Hu Song ◽  
Han-Song Sun ◽  
Xiang-Dong Shen ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Septal Defect ◽  
Anomalous Origin ◽  
Off Pump ◽  
Autologous Pericardial Patch ◽  
The Right

Anomalous origin of the right coronary artery from the pulmonary artery is a rare cardiac malformation. Between July 2002 and July 2005, we operated on 4 patients with this defect. There were 2 males and 2 females, aged from 18 months to 42 years. Three patients underwent direct re-implantation of the right coronary artery into the aorta, and one had an intrapulmonary tunnel repair (intrapulmonary artery baffle with an autologous pericardial patch for tunneling to the anomalous right coronary ostium). Cardiopulmonary bypass was used in 2 patients, and an off-pump technique in the other 2. One patient had an atrial septal defect that was closed with an Amplatzer septal occluder through the right atrium under transesophageal echocardiography, without cardiopulmonary bypass. All patients survived and recovered uneventfully. Follow-up ranged from 3 to 39 months (mean, 17 months). All patients were doing well and free from symptoms, with normal exercise tolerance. Surgical correction of anomalous right coronary artery shows good early and midterm results.

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