Surgical treatment of an infant with myocardial ischemia due to an anomalous origin of the right coronary artery from the main pulmonary artery: Report of a case

• DOI: 10.1007/s00595-008-4044-8
• Publication Date: 2009-10-31T00:39:44Z
• Authors: Noriyoshi Kajihara; Toshihide Asou; Yuko Takeda; Yoshimichi Kosaka
• Keywords: Coronary Vessel Anomalies; Myocardial Ischemia; Infant; Pulmonary Artery; Coronary Angiography; Coronary Vessels; 3. Good health; Diagnosis, Differential; 03 medical and health sciences; 0302 clinical medicine; Echocardiography; Humans; Female; Vascular Surgical Procedures; Follow-Up Studies

An anomalous origin of the right coronary artery from the main pulmonary artery (ARCAPA) is a rare cardiac malformation, and only three cases of isolated ARCAPA in patients younger than 2 years of age have been reported. This report describes the surgical treatment of a 12-month-old girl with myocardial ischemia due to ARCAPA. The diagnosis was made by echocardiography. A reimplantation of the aberrant coronary artery was performed, and the patient had a successful postoperative course.