Anomalous origin of right coronary artery from pulmonary artery

Area of Science:

• Cardiology
• Congenital Heart Disease
• Medical Imaging

Background:

• Anomalous origin of coronary artery from the pulmonary artery (ACAP) is a rare congenital anomaly.
• Most commonly, the left coronary artery arises from the pulmonary artery; origin of the right coronary artery is exceptionally rare.
• These anomalies can be subtle and easily missed during standard echocardiography.

Purpose of the Study:

• To report a case of isolated anomalous origin of the right coronary artery from the pulmonary artery (R-ACAP).
• To highlight the diagnostic utility of echocardiography in identifying this rare coronary anomaly.
• To demonstrate the role of computed tomography (CT) angiography in confirming the diagnosis.

Main Methods:

• Case report presentation.
• Diagnostic imaging utilizing echocardiography.
• Confirmatory imaging with computed tomography (CT) angiography.

Main Results:

• Echocardiography successfully identified the anomalous origin of the right coronary artery from the pulmonary artery.
• Computed tomography (CT) angiography confirmed the diagnosis, providing detailed anatomical information.
• The case represents an isolated anomaly without other significant cardiac defects.

Conclusions:

• Isolated anomalous origin of the right coronary artery from the pulmonary artery is a rare but diagnosable condition.
• Echocardiography, when performed with careful attention, is a valuable tool for initial diagnosis.
• CT angiography serves as a crucial confirmatory modality for anomalous coronary artery origins.