Endocardial Coronary Artery: A Rare Congenital Coronary Anomaly

Myocardial bridging and single coronary artery (SCA) may both lead to myocardial ischemia and related secondary complications. We present multidetector computed tomography (MDCT) and catheter coronary angiography (CCA) findings of R-I subtype SCA, which is a distinctively rare congenital coronary anomaly, and accompanying incomplete myocardial bridging in a case with dyspnea and chest burning. In addition, CCA showed a thin milking effect at the tunneled artery.

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Surgical treatment for anomalous origin of the right coronary artery from the pulmonary artery: a case report with five-year follow-up

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-020-01374-x ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Peng Teng ◽

Weidong Li ◽

Yiming Ni

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Coronary Artery ◽

Surgical Treatment ◽

Right Coronary Artery ◽

Rare Case ◽

Congenital Heart ◽

Coronary Anomaly ◽

The Right ◽

Congenital Coronary Anomaly

Abstract Background Anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is a rare congenital heart disease affecting about 0.002% of the population. Knowledge of ARCAPA is almost collected from case reports. The aim of this study was to provide a rare case to better understand this rare congenital coronary anomaly. Case presentation We report a rare case of an 18-year-old male who was initially referred because of heart murmur. Dilated and tortuous coronary arteries were detected by echocardiography and congenital coronary anomaly was suggested. Further coronary CT angiography confirmed the diagnosis of ARCAPA. Although dual coronary system provides favorable long-term outcome, bypass surgery was considered technically difficult due to the huge mismatch of caliber between the right coronary artery and graft vessels. Eventually, simple right coronary artery ligation was performed. The patient was followed up for about 5 years without evidence of atherosclerosis or myocardial ischemia. Conclusions ARCAPA presents as a rare congenital heart disease with variable clinical manifestations. Surgical treatment is highly recommended to re-establish dual coronary system and prevent further complications. To our best knowledge, only about 200 cases of ARCAPA has been reported.

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PP-191 A RARE CONGENITAL CORONARY ANOMALY; LEFT CORONARY ORIGINATING FROM RIGHT CORONARY ARTERY

International Journal of Cardiology ◽

10.1016/s0167-5273(12)70391-1 ◽

2012 ◽

Vol 155 ◽

pp. S161-S162

Author(s):

U. Coşkun ◽

G. Imre ◽

B. Ökçün ◽

C. Bostan ◽

A. Yildiz ◽

...

Keyword(s):

Coronary Artery ◽

Right Coronary Artery ◽

Coronary Anomaly ◽

Congenital Coronary Anomaly

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Unusual sudden cardiac death from an anomalous left coronary artery from the right sinus of Valsalva

Cardiology in the Young ◽

10.1017/s1047951113001005 ◽

2013 ◽

Vol 24 (4) ◽

pp. 732-734 ◽

Cited By ~ 3

Author(s):

Ram N. Bishnoi ◽

Kristen N. McMillan ◽

William R. Thompson

Keyword(s):

Coronary Artery ◽

Left Coronary Artery ◽

Left Main Coronary Artery ◽

Coronary Anomaly ◽

Sinus Of Valsalva ◽

Anomalous Left Coronary Artery ◽

Congenital Cardiac Defects ◽

The Right ◽

Anomalous Left Coronary ◽

Congenital Coronary Anomaly

AbstractA left coronary artery arising from the right sinus of Valsalva is a rare congenital coronary anomaly. We report a case of a 5-year-old boy with an anomalous left coronary artery from the right sinus of Valsalva whose presenting sign was cardiac arrest. There is no reported instance of a child <9 years of age without other congenital cardiac defects having died suddenly with this coronary anomaly. The transthoracic echocardiogram demonstrated normal origins of the coronary arteries, but on autopsy, an anomalous origin of the left main coronary artery from the right sinus of Valsalva was found.

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Surgical Treatment for Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery: A Case Report with Five-Year Follow-up

10.21203/rs.3.rs-62858/v2 ◽

2020 ◽

Author(s):

Peng Teng ◽

Weidong Li ◽

Yiming Ni

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Coronary Artery ◽

Surgical Treatment ◽

Right Coronary Artery ◽

Rare Case ◽

Congenital Heart ◽

Coronary Anomaly ◽

The Right ◽

Congenital Coronary Anomaly

Abstract Background Anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is a rare congenital heart disease affecting about 0.002% of the population. Knowledge of ARCAPA is almost collected from case reports. The aim of this study was to provide a rare case to better understand this rare congenital coronary anomaly. Case presentation We report a rare case of an 18-year-old male who was initially referred because of heart murmur. Dilated and tortuous coronary arteries were detected by echocardiography and congenital coronary anomaly was suggested. Further coronary CT angiography confirmed the diagnosis of ARCAPA. Although dual coronary system provides favorable long-term outcome, bypass surgery was considered technically difficult due to the huge mismatch of caliber between the right coronary artery and graft vessels. Eventually, simple right coronary artery ligation was performed. The patient was followed up for about 5 years without evidence of atherosclerosis or myocardial ischemia.Conclusions ARCAPA presents as a rare congenital heart disease with variable clinical manifestations. Surgical treatment is highly recommended to re-establish dual coronary system and prevent further complications. To our best knowledge, only about 200 cases of ARCAPA has been reported.

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Surgical Treatment for Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery: A Case Report with Five-Year Follow-up

10.21203/rs.3.rs-62858/v1 ◽

2020 ◽

Author(s):

Peng Teng ◽

Weidong Li ◽

Yiming Ni

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Coronary Artery ◽

Surgical Treatment ◽

Right Coronary Artery ◽

Rare Case ◽

Congenital Heart ◽

Coronary Anomaly ◽

The Right ◽

Congenital Coronary Anomaly

Abstract Background: Anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is a rare congenital heart disease affecting about 0.002% of the population. Knowledge of ARCAPA is almost collected from case reports. The aim of this study was to provide a rare case to better understand this rare congenital coronary anomaly.Case presentation: We report a rare case of an 18-year-old male who was initially referred because of heart murmur. Dilated and tortuous coronary arteries were detected by echocardiography and congenital coronary anomaly was suggested. Further coronary CT angiography confirmed the diagnosis of ARCAPA. Although dual coronary system provides favorable long-term outcome, bypass surgery was considered technically difficult due to the huge mismatch of caliber between the right coronary artery and graft vessels. Eventually, simple right coronary artery ligation was performed. The patient was followed up for about 5 years without evidence of atherosclerosis or myocardial ischemia.Conclusions: ARCAPA presents as a rare congenital heart disease with variable clinical manifestations. Surgical treatment is highly recommended to re-establish dual coronary system and prevent further complications. To our best knowledge, only about 200 cases of ARCAPA has been reported.

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A Young Woman with Atypical Chest Pain: Introducing a Rare Case of ARCAPA

Multidisciplinary Cardiovascular Annals ◽

10.5812/mca.106461 ◽

2020 ◽

Vol 11 (2) ◽

Author(s):

Zahra Khajali ◽

Mohammad Esmaeel Zangenehfar ◽

Mohsen Maadani ◽

Mojgan Parsaee

Keyword(s):

Chest Pain ◽

Coronary Artery ◽

Clinical Outcome ◽

Rare Case ◽

Wide Spectrum ◽

Pulmonary Trunk ◽

Coronary Anomaly ◽

Atypical Chest Pain ◽

The Right ◽

Congenital Coronary Anomaly

: Anomalous origin of the right coronary artery originating from the pulmonary trunk (ARCAPA) is a rare congenital coronary anomaly with wide spectrum of clinical outcome. We are presenting a case of ARCAPA with a review of the previous studies about it.

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