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

被引：0
|
作者：
Rawlley, Bharat [1 ]
Vaishnav, Pratyaksh P. [1 ]
Khalid, Subaina Naeem [1 ]
Paulraj, Shweta [1 ]
El-Khally, Ziad A. [2 ]
Ahmed, Jamal [1 ]
机构：
[1] SUNY Upstate Med Univ, Syracuse, NY USA
[2] St Josephs Hlth Cardiovasc Inst, Syracuse, NY USA
来源：
JOURNAL OF INVESTIGATIVE MEDICINE HIGH IMPACT CASE REPORTS | 2024年 / 12卷
关键词：
anomalous right coronary artery from pulmonary artery; congenital heart disease; coronary anomaly;
D O I：
10.1177/23247096241269935
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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.
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