An Adult Surgical Case of Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery

VernacularTitle:成人期に診断された右冠動脈肺動脈起始症の1治験例
Author: Norihiro ANDO ¹ ; Yasushige SHINGU ¹ ; Tomonori OOKA ¹ ; Hiroki KATO ² ; Tsuyoshi TACHIBANA ¹ ; Suguru KUBOTA ¹ ; Yoshiro MATSUI ¹
Author Information

1. Department of Cardiovascular and Thoracic Surgery, Hokkaido University, Graduate School of Medicine
2. Emergency and Critical Care Center, Hokkaido University Hospital
Keywords: anomalous origin of the right coronary artery from the pulmonary artery; surgical repair
From:Japanese Journal of Cardiovascular Surgery 2018;47(5):215-219
CountryJapan
Language:Japanese
Abstract: Anomalous origin of the coronary artery from the pulmonary artery (ACAPA) is a rare congenital heart disease. A woman in her 60s was diagnosed as ARCAPA during examination for angina. A magnetic resonance image showed myocardial ischemia in a small area of the right coronary artery (RCA) and left anterior descending artery. Reimplantation of the RCA to the ascending aorta and patch plasty of the pulmonary artery were performed. Repositioning of the RCA orientation was necessary for relief of the kinking. The postoperative course was uneventful. She is now free from angina 15 months after surgery.