Anomalous right coronary artery from the pulmonary artery in a young infant with ventricular septal defect

We report a case of anomalous right coronary artery from pulmonary artery (ARCAPA), which is a very rare congenital coronary defect. It can be an isolated lesion or associated with congenital cardiac defects such as tetralogy of Fallot or shunt lesions in up to 40' of cases. The clinical presen...

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Main Authors: Anil Kumar Singhi, Richard Hawker, Gary Sholler
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Journal of Indian College of Cardiology
Subjects:
Online Access:http://www.joicc.org/article.asp?issn=1561-8811;year=2021;volume=11;issue=1;spage=37;epage=39;aulast=Singhi
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author Anil Kumar Singhi
Richard Hawker
Gary Sholler
author_facet Anil Kumar Singhi
Richard Hawker
Gary Sholler
author_sort Anil Kumar Singhi
collection DOAJ
description We report a case of anomalous right coronary artery from pulmonary artery (ARCAPA), which is a very rare congenital coronary defect. It can be an isolated lesion or associated with congenital cardiac defects such as tetralogy of Fallot or shunt lesions in up to 40' of cases. The clinical presentation varies from asymptomatic to signs of myocardial ischemia, cardiac failure, and/or ventricular arrhythmia. The electrocardiogram can be normal in a significant fraction of the cases. The diagnosis of ARCAPA may be confirmed by cardiac catheterization, computed tomographic angiogram, and cardiac magnetic resonance angiogram. Reimplantation of anomalous coronary artery is the treatment of choice. In the current era, systematic preoperative screening by echo is recommended.
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spelling doaj.art-8e955db205fd4ac5b6e68b0b03a23b952024-02-07T12:54:40ZengWolters Kluwer Medknow PublicationsJournal of Indian College of Cardiology1561-88112213-36152021-01-01111373910.4103/JICC.JICC_61_20Anomalous right coronary artery from the pulmonary artery in a young infant with ventricular septal defectAnil Kumar SinghiRichard HawkerGary ShollerWe report a case of anomalous right coronary artery from pulmonary artery (ARCAPA), which is a very rare congenital coronary defect. It can be an isolated lesion or associated with congenital cardiac defects such as tetralogy of Fallot or shunt lesions in up to 40' of cases. The clinical presentation varies from asymptomatic to signs of myocardial ischemia, cardiac failure, and/or ventricular arrhythmia. The electrocardiogram can be normal in a significant fraction of the cases. The diagnosis of ARCAPA may be confirmed by cardiac catheterization, computed tomographic angiogram, and cardiac magnetic resonance angiogram. Reimplantation of anomalous coronary artery is the treatment of choice. In the current era, systematic preoperative screening by echo is recommended.http://www.joicc.org/article.asp?issn=1561-8811;year=2021;volume=11;issue=1;spage=37;epage=39;aulast=Singhianomalous right coronary arteryanomalous right coronary artery from pulmonary arterycoronary translocation
spellingShingle Anil Kumar Singhi
Richard Hawker
Gary Sholler
Anomalous right coronary artery from the pulmonary artery in a young infant with ventricular septal defect
Journal of Indian College of Cardiology
anomalous right coronary artery
anomalous right coronary artery from pulmonary artery
coronary translocation
title Anomalous right coronary artery from the pulmonary artery in a young infant with ventricular septal defect
title_full Anomalous right coronary artery from the pulmonary artery in a young infant with ventricular septal defect
title_fullStr Anomalous right coronary artery from the pulmonary artery in a young infant with ventricular septal defect
title_full_unstemmed Anomalous right coronary artery from the pulmonary artery in a young infant with ventricular septal defect
title_short Anomalous right coronary artery from the pulmonary artery in a young infant with ventricular septal defect
title_sort anomalous right coronary artery from the pulmonary artery in a young infant with ventricular septal defect
topic anomalous right coronary artery
anomalous right coronary artery from pulmonary artery
coronary translocation
url http://www.joicc.org/article.asp?issn=1561-8811;year=2021;volume=11;issue=1;spage=37;epage=39;aulast=Singhi
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AT garysholler anomalousrightcoronaryarteryfromthepulmonaryarteryinayounginfantwithventricularseptaldefect