Abstract
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.
Reference33 articles.
1. The incidence of congenital heart disease;Hoffman;J. Am. Coll. Cardiol.,2002
2. Coronary artery anomalies overview: The normal and the abnormal;Villa;World J. Radiol.,2016
3. Anomalous right coronary artery arising from the pulmonary artery: A report of 7 cases and a review of the literature;Williams;Am. Heart J.,2006
4. Two cases of an abnormal coronary artery of the heart, arising from the pulmonary artery, with some remarks upon the effect of this anomaly in producing cirsoid dilatation of the vessels;Brooks;Trans. Acad. Med. Irel.,1885
5. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography;Yamanaka;Cathet. Cardiovasc. Diagn.,1990
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