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

Authors

  • Yueqiu Su, MD Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
  • Zhongze Cao, MD West China School of Medicine, Sichuan University, Chengdu, Sichuan, China, Chengdu, Sichuan, China
  • Yunfei Ling, MD, PhD Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China
  • Yongjun Qian, MD, PhD Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China

DOI:

https://doi.org/10.1532/hsf.3477

Keywords:

right coronary artery arising from the pulmonary artery

Abstract

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.

References

Afolabi-Brown O, Witzke C, Moldovan R, Pressman G. 2014. A different kind of Christmas tree: anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA). Echocardiography. 31(2):E52-4.

Al-Dairy A, Rezaei Y, Pouraliakbar H, Mahdavi M, Bayati P, Gholampour-Dehaki M. 2017. Surgical Repair for Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery. Korean Circ J. Jan; 47(1):144-147.

Guzeltas A, Ozturk E, Tanidir IC, Kasar T, Haydin S. 2017. Evaluation of Anomalous Coronary Arteries from the Pulmonary Artery. Braz J Cardiovasc Surg. Jan-Feb 32(1):29-37.

Hauser M. 2005. Congenital anomalies of the coronary arteries. Heart. Sep;91(9):1240-5.

Ramani J, Ananthanarayanan C, Pujara J, Thakkar B, Jain I, Mishra A. 2017. Intramural Anomalous Right Coronary Artery From the Main Pulmonary Artery. World J Pediatr Congenit Heart Surg. Nov; 8(6):745-749.

Restrepo-Cordoba MA, Arellano-Serrano C, Mingo-Santos S. 2016. Right Coronary Artery With Anomalous Origin: The Role of Imaging Techniques. JACC Cardiovasc Interv. Jul 25; 9(14):e137-9.

Robinson JA, Maclellan-Tobert SG, Horner JM, Cetta F. 2014. Pitfalls in diagnosis: suspected anomalous origin of the right coronary artery from the pulmonary artery. Tex Heart Inst J. Feb; 41(1):51-4.

Saavedra MJ, Mozzi J, Nápoli N, Villa A, Barretta J, Marantz P. 2018. Anomalous origin of the right coronary artery from the pulmonary artery in an infant with a heart murmur: Case report. Arch Argent Pediatr. Dec 1; 116(6):e789-e792.

Williams IA, Gersony WM, Hellenbrand WE. 2006. Anomalous right coronary artery arising from the pulmonary artery: a report of 7 cases and a review of the literature. Am Heart J. 152(5):1004.e9-17.

Wu LP, Zhang YQ, Chen LJ, Liu YQ. 2019. Diagnosis of anomalous origin of the right coronary artery from the pulmonary artery by echocardiography. J Med Ultrason (2001). 46(3):335-341.

Published

2021-03-25

How to Cite

Su, Y., Cao, Z., Ling, Y., & Qian, Y. jun. (2021). Anomalous Right Coronary Artery Arising from the Pulmonary Artery with Associated Enlargement of the Left Coronary Artery: A Case Report. The Heart Surgery Forum, 24(2), E293-E295. https://doi.org/10.1532/hsf.3477

Issue

Section

Articles