Related Experiment Video

Updated: Jul 2, 2025

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

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Anomalous Arising of Right Coronary Artery from the Pulmonary Artery

Adrián Kolesár1, Tomáš Toporcer1, Jana Čobejová1

  • 1Department of Heart Surgery, East Slovak Institute of Cardiovascular Disease and Medical Faculty, University of Pavol Jozef Šafárik in Košice, 04011 Košice, Slovakia.

Journal of Cardiovascular Development and Disease
|February 23, 2024
PubMed

Insights

Anomalous origin of the right coronary artery from the pulmonary artery is a rare condition, often asymptomatic. Surgical correction is recommended only if symptoms of myocardial ischemia occur.

Area of Science:

  • Cardiology
  • Congenital Heart Disease

Background:

  • Coronary artery anomalies occur in <1% of the population, with anomalous origin from the pulmonary artery being a rare subset.
  • Anomalous origin of the right coronary artery from the pulmonary artery (AORCAPA) has an incidence of 1 in 500,000.

Observation:

  • A case report details a 67-year-old male diagnosed with asymptomatic AORCAPA.
  • The patient presented for aortic valve stenosis surgery.

Findings:

  • A concomitant surgical procedure repositioned the anomalous right coronary artery origin to the aortic root.
  • The patient recovered well and was discharged on postoperative day 12.

Implications:

  • AORCAPA is frequently asymptomatic, necessitating intervention only when myocardial ischemia is evident.
  • This case highlights successful surgical management of AORCAPA in an adult undergoing unrelated cardiac surgery.

Keywords:
ARCAPAaortic valve stenosiscoronary artery anomalies

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