Myocardial Ischemia and Anomalous Origin of the Right Coronary Artery From the Pulmonary Artery in the Adult: Management Implications and Follow-Up

Dennis VanLoozen, Michael R. Bykhovsky, Deepak Kapoor, William B. Bates, Kenneth A. Murdison, Anastasios Charalanpos Polimenakos

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is a very rare and potentially fatal congenital heart defect due to myocardial ischemia secondary to coronary steal phenomenon. We present a case of an adult presenting with a myocardial infarction who was found to have ARCAPA. Three-dimensional (3D) reconstructed computed tomography angiography (CTA) was utilized preoperatively for surgical planning. Surgical technique as well as pre- and postoperative 3D CTA are described and literature reviewed.

Original languageEnglish (US)
Pages (from-to)139-141
Number of pages3
JournalWorld Journal for Pediatric and Congenital Heart Surgery
Volume12
Issue number1
DOIs
StatePublished - Jan 2021

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

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