Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-19T13:41:54.290Z Has data issue: false hasContentIssue false
  • English
  • Français

Heart failure in an elderly man: where is that coronary?

Part of: Advanced Imaging

Published online by Cambridge University Press:  28 January 2021

Charlie J. Sang III Open the ORCID record for Charlie J. Sang III [Opens in a new window] ,
Stephen A. Clarkson ,
Elizabeth A. Jackson ,
Firas Al Solaiman  and
Marc G. Cribbs
Charlie J. Sang III
Affiliation:
Internal Medicine – Pediatrics Residency Program, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA
Stephen A. Clarkson
Affiliation:
Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
Elizabeth A. Jackson
Affiliation:
Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
Firas Al Solaiman
Affiliation:
Section of Interventional Cardiology, Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
Marc G. Cribbs*
Affiliation:
Section of Adult Congenital Heart Disease, Division of Cardiovascular Disease and Pediatric Cardiology, University of Alabama at Birmingham, Birmingham, AL, USA
*
Address for correspondence: M. G. Cribbs, MD, Section of Adult Congenital Heart Disease, Division of Cardiovascular Disease and Pediatric Cardiology, University of Alabama at Birmingham, 1700 6th Avenue South, Suite 9100, Birmingham, AL35233, USA. Tel: 205 – 934 – 2173; Fax: (205) 975-5991. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Anomalous coronary arteries from the pulmonary artery are uncommon causes of heart failure in the adult population. This case demonstrates the unusual presentation in a patient with anomalous right coronary artery from the pulmonary artery and discusses the complex pathophysiology of this lesion and the role of guideline-directed medical therapy in the management of these patients.

Keywords

Coronary vessel anomalycardiomyopathyCHD
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 6 , June 2021 , pp. 1030 - 1033
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Guenther, TM, Sherazee, EA, Wisneski, AD, et al. Anomalous origin of the right coronary artery from the pulmonary artery: a systematic review. Ann Thorac Surg 2020; 110: 1063–1071.CrossRefGoogle ScholarPubMed
Yamanaka, O, Hobbs, RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990; 21: 28–40.CrossRefGoogle ScholarPubMed
Radke, PW, Messmer, BJ, Haager, PK, et al. Anomalous origin of the right coronary artery: preoperative and postoperative hemodynamics. Ann Thoracic Surg 1998; 66: 1444–1449.CrossRefGoogle ScholarPubMed
Mantha, Y, Feldman, M, Assaf, A, et al. Anomalous origin of a right coronary artery from the pulmonary artery in a middle-aged woman. JACC Case Reports 2020; 2: 464.CrossRefGoogle Scholar
Halim, SA, Wang, A, Harrison, JK. Anomalous right coronary artery origin from the pulmonary artery (ARCAPA) coexisting with obstructive atherosclerotic disease of the left coronary artery. J Invasive Cardiol 2011; 23: E260–261.Google ScholarPubMed
Gräni, C, Buechel, RR, Kaufmann, PA, et al. Multimodality imaging in individuals with anomalous coronary arteries. JACC Cardiovasc Imaging 2017; 10: 471–481.CrossRefGoogle ScholarPubMed
Stout, KK, Daniels, CJ, Aboulhosn, JA, et al. 2018 AHA/ACC guideline for the management of adults with congenital heart disease. J Am College Cardiol 2019; 73: e81.CrossRefGoogle ScholarPubMed
Farwati, M, Shaker, F, Nasser, MM Anomalous origin of the right coronary artery from the pulmonary artery in a morbidly obese patient presenting with chest pain. Am J Case Rep 2018; 19: 992–997.CrossRefGoogle Scholar
Behera, SK, Danon, S, Levi, DS, et al. Transcatheter closure of coronary artery fistulae using the Amplatzer Duct Occluder. Catheter Cardiovasc Interv 2006; 68: 242–248.CrossRefGoogle ScholarPubMed

Sang III et al. supplementary material

Sang III et al. supplementary material 1

Download Sang III et al. supplementary material(Video)
Video 2.5 MB

Sang III et al. supplementary material

Sang III et al. supplementary material 2

Download Sang III et al. supplementary material(Video)
Video 3.1 MB