Anomalous Right Coronary Artery From Pulmonary Artery Presenting as Inferior Wall Ischemia: A Case Report-Reference-Cited by-同舟云学术

Anomalous Right Coronary Artery From Pulmonary Artery Presenting as Inferior Wall Ischemia: A Case Report

Published:2024-01 Issue: Volume:12 Page:
ISSN:2324-7096
Container-title:Journal of Investigative Medicine High Impact Case Reports
language:en
Short-container-title:Journal of Investigative Medicine High Impact Case Reports

Author:

Rawlley Bharat¹^ORCID,Vaishnav Pratyaksh P.¹,Khalid Subaina Naeem¹,Paulraj Shweta¹^ORCID,El-Khally Ziad A.²,Ahmed Jamal¹

Affiliation:

1. State University of New York Upstate Medical University, Syracuse, USA

2. St Joseph’s Health Cardiovascular Institute, Syracuse, NY, USA

Abstract

We illustrate the case of a 62-year-old man with a symptomatic anomalous right coronary artery from pulmonary artery (ARCAPA). Our patient had presented with dyspnea on exertion with electrocardiogram showing pronounced inferior Q waves and marked inferolateral ST-T wave changes. The patient had a nuclear stress test which showed inferior wall ischemia. Subsequently, the patient underwent coronary angiography which showed an ARCAPA. The patient underwent surgical repair with reimplantation of the right coronary artery to the ascending aorta which was tolerated well. Our case illustrates ARCAPA presenting late in adulthood with ischemic symptoms that was treated with corrective surgery.

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/23247096241269935

Reference10 articles.

1. Anomalous coronary arteries: angiographic findings in 80 patients

2. Anomalous Origin of a Right Coronary Artery from the Pulmonary Artery in a Middle-Aged Woman

3. Anomalous right coronary artery arising from the pulmonary artery: A report of 7 cases and a review of the literature

4. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography

5. Anomalous Origin of the Right Coronary Artery From the Pulmonary Artery: A Systematic Review