Browse > Article
http://dx.doi.org/10.3345/kjp.2016.59.11.S80

Anomalous right coronary artery from pulmonary artery discovered incidentally in an asymptomatic young infant  

Kim, Kyu Seon (Department of Pediatrics, Chungnam National University Hospital)
Jo, Eun Young (Department of Pediatrics, Chungnam National University Hospital)
Yu, Jae Hyeon (Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital)
Kil, Hong Rang (Department of Pediatrics, Chungnam National University Hospital)
Publication Information
Clinical and Experimental Pediatrics / v.59, no.sup1, 2016 , pp. 80-83 More about this Journal
Abstract
Isolated anomalous right coronary artery originating from the pulmonary artery (ARCAPA) is a rare congenital coronary anomaly that is asymptomatic and discovered incidentally in most cases. ARCAPA is generally not considered a fatal defect in infancy or childhood, although cases of sudden death have been reported. Here, we report a 2-month-old female infant who presented with a prolonged fever that was determined to be caused by rhinovirus infection. Myocardial ischemia of the left ventricular posterior wall was already seen on echocardiography, and ARCAPA was discovered incidentally. The patient underwent successful surgical reimplantation of the right coronary artery to the aortic root to re-establish dual ostial circulation.
Keywords
Coronary vessel anomalies; Infant; Asymptomatic disease;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990;21:28-40.   DOI
2 Kajihara N, Asou T, Takeda Y, Kosaka Y. Surgical treatment of an infant with myocardial ischemia due to an anomalous origin of the right coronary artery from the main pulmonary artery: report of a case. Surg Today 2009;39:969-71.   DOI
3 Radke PW, Messmer BJ, Haager PK, Klues HG. Anomalous origin of the right coronary artery: preoperative and postoperative hemodynamics. Ann Thorac Surg 1998;66:1444-9.   DOI
4 Maroules CD, Adams DZ, Whiting ED, Antevil JL, Mitchell ES. Anomalous origin of the right coronary artery from the pulmonary artery: evaluation with use of 64-slice multidetector computed tomography. Tex Heart Inst J 2013;40:106-8.
5 Stopfkuchen H, Feichter GE, Jungst BK. Anomalous origin of the right coronary artery from the pulmonary artery combined with aortopulmonary window. Z Kardiol 1974;63:1086-98.
6 Luisi SV, Ashraf MH, Gula G, Radley-Smith R, Yacoub M. Anomalous origin of the right coronary artery with aortopulmonary window: functional and surgical considerations. Thorax 1980;35:446-8.   DOI
7 Tuma S, Hucin B, Reich O, Voriskova M, Radvansky J. Anomalous origin of the right coronary artery from the pulmonary artery: preoperative diagnostic finding in the aortopulmonary window. Cesk Pediatr 1990;45:543-5.
8 Donaldson RM, Raphael M, Radley-Smith R, Yacoub M. Angiographic diagnosis of anomalous origin of the right coronary artery from the pulmonary artery. Br J Radiol 1983;56:17-9.   DOI
9 Shah RM, Nanda NC, Hsiung MC, Moos S, Roitman D. Identification of anomalous origin of the right coronary artery from pulmonary trunk by Doppler color flow mapping. Am J Cardiol 1986;57:366-7.   DOI
10 Kuhn A, Kasnar-Samprec J, Schreiber C, Vogt M. Anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA). Int J Cardiol 2010;139:e27-8.   DOI
11 Brooks HS. 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. J Anat Physiol 1885;20(Pt 1):26-9.
12 Williams IA, Gersony WM, Hellenbrand WE. Anomalous right coronary artery arising from the pulmonary artery: a report of 7 cases and a review of the literature. Am Heart J 2006;152:1004.e9-17.   DOI
13 Veselka J, Widimsky P, Kautzner J. Reimplantation of anomalous right coronary artery arising from the pulmonary trunk leading to normal coronary flow reserve late after surgery. Ann Thorac Surg 2003;76:1287-9.   DOI