Japanese Journal of Cardiovascular Surgery
Online ISSN : 1883-4108
Print ISSN : 0285-1474
ISSN-L : 0285-1474
[Acquired Cardiovascular Surgery]
An Adult Surgical Case of Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery
Norihiro Ando, Yasushige Shingu, Tomonori Ooka, Hiroki Kato, Tsuyoshi Tachibana, Suguru Kubota, Yoshiro Matsui
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Keywords: anomalous origin of the right coronary artery from the pulmonary artery, surgical repair
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2018 Volume 47 Issue 5 Pages 215-219

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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.

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© 2018 The Japanese Society for Cardiovascular Surgery
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