Challenging Diagnosis of Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery

Anomalous origin of the right coronary artery (RCA) from the pulmonary artery, ARCAPA, is an extremely rare congenital heart disease. Only 200 cases were reported from 1885 to the present. Patients diagnosed with ARCAPA can be either asymptomatic or can experience symptoms, such as heart murmur, dys...

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Bibliographic Details
Published in:Diagnostics (Basel) 2022-11, Vol.12 (11), p.2671
Main Authors: Mahmoud, Hiyam, Cinteză, Eliza, Voicu, Cristiana, Mărgărint, Irina, Rotaru, Iulian, Aria, Amelia, Youssef, Tammam, Nicolescu, Alin
Format: Article
Language:English
Subjects:
Age
Analysis
ARCAPA
Asymptomatic
Care and treatment
Case Report
Case reports
Children
Congenital heart disease
coronary angiography
coronary artery disease
Coronary vessels
Diagnosis
Diagnostic imaging
Electrocardiography
Exercise
Fistula
Genetic aspects
Health aspects
Heart surgery
Ischemia
Medical imaging
Patients
Physiological aspects
Pulmonary arteries
reimplantation
Veins & arteries
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Summary:Anomalous origin of the right coronary artery (RCA) from the pulmonary artery, ARCAPA, is an extremely rare congenital heart disease. Only 200 cases were reported from 1885 to the present. Patients diagnosed with ARCAPA can be either asymptomatic or can experience symptoms, such as heart murmur, dyspnea, or angina, shortly after birth or around 40–60 years of life. Usually, those with isolated ARCAPA are diagnosed later in life compared to those who associate other structural cardiac defects. We report two cases of anomalous origin of the right coronary artery at the level of the pulmonary artery trunk (ARCAPA) that were diagnosed by invasive coronary angiography. Although asymptomatic, general recommendations suggest an early corrective intervention to prevent complications such as myocardial ischemia and cardiac dysfunction, which can lead to sudden cardiac death.
ISSN:2075-4418
2075-4418
DOI:10.3390/diagnostics12112671