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

表现为下壁缺血的肺动脉异常右冠状动脉 ： 一例病例报告。

• 发表时间: 2024 Jan-Dec
• 来源期刊: J Investig Med High Impact Case Rep
• DOI: 10.1177/23247096241269935
• PMID: 39133235
• 文章类型: Case Reports
• 作者列表: Rawlley B,Vaishnav PP,Khalid SN,Paulraj S,El-Khally ZA,Ahmed J

关键词: anomalous right coronary artery from pulmonary artery; congenital heart disease; coronary anomaly

Mesh: Humans; Male; Middle Aged; Pulmonary Artery / abnormalities diagnostic imaging surgery; Coronary Vessel Anomalies / diagnostic imaging surgery complications diagnosis; Electrocardiography; Coronary Angiography; Myocardial Ischemia / etiology; Coronary Vessels / diagnostic imaging; Exercise Test

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.

摘要

我们举例说明了一名62岁男子的肺动脉（ARCAPA）有症状的右冠状动脉异常。我们的患者在运动时出现呼吸困难，心电图显示明显的下Q波和明显的下外侧ST-T波变化。患者进行了核压力测试，显示下壁缺血。随后，患者接受了冠状动脉造影,显示ARCAPA.患者接受了手术修复，将右冠状动脉重新植入升主动脉，耐受性良好。我们的案例说明了ARCAPA在成年后期出现缺血症状，并通过矫正手术治疗。