Right coronary artery arising from the pulmonary trunk
Cinzia Capuano1, Marco Sesana, Fabio Capuano
1Catheterization Laboratory, Poliambulanza Hospital, Brescia, Italy. cinziacap2002@yahoo.it
Summary
A rare congenital anomaly, anomalous origin of the right coronary artery from the pulmonary trunk, was successfully treated with coronary reimplantation in a 62-year-old woman. This surgical approach led to symptom resolution and positive outcomes.
Area of Science:
- Cardiovascular Surgery
- Congenital Heart Disease
- Interventional Cardiology
Background:
- Anomalous origin of the right coronary artery from the pulmonary trunk (RCA-PT) is a rare congenital heart defect.
- Patients may present with symptoms of myocardial ischemia, such as angina pectoris.
Observation:
- A 62-year-old woman with hypertension and angina pectoris was diagnosed with RCA-PT via angiography.
- Coronary angiography revealed severe stenosis in the left anterior descending artery.
Findings:
- Surgical coronary reimplantation was performed to correct the anomalous RCA origin.
- A 6-month follow-up demonstrated complete symptom disappearance and excellent clinical results.
Implications:
- Surgical correction of anomalous coronary artery origins from the pulmonary trunk is effective.
- Coronary reimplantation offers a viable treatment option for RCA-PT, improving patient outcomes and quality of life.
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