[Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery Treated with Fistula Closure and Coronary Artery Bypass Grafting:Report of a Case].
Kyobu Geka
; 74(11): 945-949, 2021 Oct.
Article
en Ja
| MEDLINE
| ID: mdl-34601479
ABSTRACT
An anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is a rare congenital disease, and it sometimes remains unnoticed until cardiac symptoms appear in adulthood. We report an adult case of surgically treated ARCAPA. A 72-year-old male was diagnosed with ARCAPA by examination for heart failure. The origin of the right coronary artery (RCA) was dilated, and ischemic change was found in the RCA area by myocardial scintigraphy. Therefore, coronary artery bypass grafting to distal RCA was performed at first, then the fistula was closed using an autologous pericardial patch, and the dilated origin of RCA was resected. Postoperative scintigraphy showed disappearance of the ischemic pattern, and the patient was discharged without any symptom of heart failure.
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Bases de datos:
MEDLINE
Asunto principal:
Anomalías de los Vasos Coronarios
/
Fístula
Límite:
Adult
/
Aged
/
Humans
/
Male
Idioma:
Ja
Revista:
Kyobu Geka
Año:
2021
Tipo del documento:
Article
País de afiliación:
Japón