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A 53-year-old hypertensive gentleman presented with acute left ventricular (LV) failure. His mother died aged 42 following a spontaneous rupture of the pulmonary artery (PA). A transthoracic echocardiogram found severe LV dilatation (7 cm) and impairment. A computed tomography (CT) angiogram was performed ( Panels A1 – A3 ) to exclude significant coronary disease and demonstrated an aberrant origin of his right coronary artery (RCA) from the main PA (MPA) with an aneurysm in its proximal part. In addition, there was an …

european heart journal

The role of multi-modality imaging to investigate and manage anomalous right coronary artery originating from the pulmonary artery (ARCAPA) anomaly with associated coronary aneurysms presenting as acute left ventricular failure