Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery Trunk

Authors

Keywords:

congenital heart disease, right coronary artery, pulmonary artery trunk, echocardiography.

Abstract

Anomalous origin of the right coronary artery from the pulmonary artery trunk constitutes a rare congenital anomaly in the pediatric population. Some patients with angina pectoris, syncope and sudden death are reported. The aim of the study was to describe the anomalous origin of the right coronary artery in the pulmonary artery trunk, based on the case description of a 15-year-old adolescent with a history of recurrent chest pain. The diagnosis was made by transthoracic echocardiography, which showed abundant collateral circulation throughout the interventricular septum and the right coronary artery, emerging from the pulmonary artery trunk. Coronary angiography corroborated the diagnosis. Surgical reimplantation of the right coronary artery was performed. It should be emphasized that age is not a determinant for the diagnosis of congenital heart disease. Clinical suspicion is important in the presence of any indirect echocardiographic sign.

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References

Ramírez FR, Bitar PH, Paolinelli PG, Pérez DC, Francisca Furnaro F. Anomalías congénitas de arterias coronarias, estudio de aquellas con importancia hemodinámica. Rev Chil Radiol. 2018;24(4):142-50. DOI: https://dx.doi.org/10.4067/S0717-93082018000400142

Franco A, Cadenasso B, Antunez S, Anzibar R, Touyà G. Origen anómalo de la arteria coronaria derecha desde el tronco de la arteria pulmonar (ARCAP). Arch Pediatr Urug. 2018;89(2):108-12. DOI: https://doi.org/10.31134/ap.89.25

Escobar Bermúdez Y, Naranjo Ugalde AM, Maciques Rodriguez R, Serrano Ricardo G, Bermúdez Gutiérrez G, Gámez Columbie M. Association of anomalous origin of the right coronary artery from the pulmonary artery with aortopulmonary window. Two case report. J Clin Rev Case Rep. 2020 [acceso 26/08/2023];5(6):290. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31854282/

Woo Goo H. Anomalous Origin of the Coronary Artery from the Pulmonary Artery in Children and Adults: A Pictorial Review of Cardiac Imaging Findings. Korean J Radiol. 2021;22(9):1441-50. DOI: https://doi:10.3348/kjr.2021.0034

Saavedra MJ, Mozzi J, Nápoli N, Villa A, Jorge Barretta ET. Origen anómalo de la arteria coronaria derecha de la arteria pulmonar en un lactante con soplo cardíaco. A propósito de un caso. Arch Argent Pediatr. 2018;116:e789-e92. DOI: http://dx.doi.org/10.5546/aap.2018.e789

Ugan Atika S, Saltika L, Oztarhanb K, Bornaunb H. Hallazgo casual de origen anómalo de la arteria coronaria derecha desde la arteria pulmonar en un lactante. Arch Argent Pediatr. 2018;116(1): e102-e05. DOI: https://dx.doi.org/10.5546/aap.2018.e102

Magaña-Reyes J, Sánchez-Lezama F, Armenta-Flores R, Domínguez-Carrillo LG. Arteria coronaria derecha con origen y trayecto anómalo en adulto joven. Rev Med Clin. 2019 [acceso 26/08/2023];3:(3):169-71. Disponible en: http://www.medicinaclinica.org

Li L, Yang H. Transoesophageal echocardiography of anomalous origin of the right coronary artery from the pulmonary artery. European Heart Journal-Case Reports 2024;8:182. DOI: https://doi.org/10.1093/ehjcr/ytae182

Kolesár A, Toporcer T, Čobejová J, Lukačin S. Anomalous Arising of Right Coronary Artery from the Pulmonary Artery J. Cardiovasc. Dev. Dis. 2024;11(2):50. DOI: https://doi.org/10.3390/jcdd11020050

Hernández-Hernández JM, Guzmán-Ramírez D, Enríquez-Rodríguez R. Anomalías de arterias coronarias. Evaluación por angiotomografía cardíaca multidetector y otras técnicas de imagen cardíaca. RETIC. 2017;5:13-21. DOI: https://doi.org/10.37615/retic.n5a3

Chaud GJ, Parisi SA, Revigliono JI, Paladini G, Rodríguez GP, Martínez Colombres MA. Tratamiento quirúrgico del origen anómalo de la arteria coronaria derecha con el nacimiento de la arteria pulmonar. Cir Cardiov 2016;23(3):136-7. DOI: http://dx.doi.org/10.1016/j.circv.2015.09.004

Zhune Villagrán DE, Mendieta Chis-Pe PP, Rizzo Vinueza JM, Freire Barrezueta IM, Barreno Martínez B. Ventana aortopulmonar con origen anómalo de la arteria coronaria derecha desde la arteria pulmonar como hallazgo quirúrgico a propósito de un caso. Canarias pediátrica. 2021 [acceso 26/08/2023];45(3). Disponible en: https://scptpfe.com

Ajam A, Rahnamoun Z, Sahebjam M, Sattartabar B, Razminia Y, Ahmadi Tafti SH, et al. Cardiac imaging findings in anomalous origin of the coronary arteries from the pulmonary artery; narrative review of the literatura. Echo Res Pract. 2022;9:12. DOI: https://doi:10.1186/s44156-022-00012-7

Published

2025-01-27

How to Cite

1.
Escobar Bermudez Y, Serrano Ricardo G, González Morejón AE, Céspedes Almira M, Gámez Columbié M. Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery Trunk. Rev. cuba. cardiol. cir. cardiovasc. [Internet]. 2025 Jan. 27 [cited 2025 Mar. 15];31:e2272. Available from: https://revcardiologia.sld.cu/index.php/revcardiologia/article/view/2272

Issue

Section

Case Presentation