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ACARPA, a rare case of ALCAPA
Author(s) -
Martens Thomas,
Demulier Laurent,
Bové Thierry,
François Katrien
Publication year - 2021
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15554
Subject(s) - medicine , cardiology , presentation (obstetrics) , circumflex , stenosis , right coronary artery , left coronary artery , coronary arteries , artery , radiology , myocardial infarction , coronary angiography
An anomalous circumflex coronary artery arising from the right pulmonary artery is very rare. Clinical presentation varies from absence of symptoms to arrhythmia and sudden cardiac death. Since prevalence is very low, no definite therapy has been delineated yet. A 19‐year‐old patient, previously treated for a vascular ring and mitral valve stenosis, was diagnosed with this anomaly through echocardiography revealing collateral coronary flow, with confirmation of this coronary anomaly on subsequent computed tomography examination. To alleviate the burden for arrhythmia in this young patient, he was successfully treated with surgical reimplantation followed by an uneventful recovery.