Open AccessAssociation of Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery with Aortopulmonary Window. Two case report
Publication year - 2020
Publication title -
journal of clinical review and case reports
Language(s) - English
Resource type - Journals
ISSN - 2573-9565
DOI - 10.33140/jcrc.05.06.05
Subject(s) - aortopulmonary window , medicine , cardiology , tetralogy of fallot , right coronary artery , asymptomatic , pulmonary artery , right pulmonary artery , aorta , artery , heart disease , coronary angiography , myocardial infarction
Anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is a rare entity. Brooks describedfirst cases in 1885. Only 25% to 30% % of cases are associated with congenital defects such as aortopulmonarywindow and tetralogy of Fallot. It is recommended the reimplantation of the right coronary artery in the Aorta, withredistribution of coronary flow avoiding the signs of ischemia or other complications even when the diagnosis is donein asymptomatic patients. This is the report of two infants with who debuted with murmur and signs of heart failure.ARCAPA and Pulmonary Aortic Window were diagnosed and they were surgically corrected through intrapulmonarytunneling with a favorable evolution.