Myocardial Ischemia and Anomalous Origin of the Right Coronary Artery From the Pulmonary Artery in the Adult: Management Implications and Follow-Up.

Autor:	VanLoozen D; Division of Pediatric Cardiology, Department of Pediatrics, Augusta University, Augusta, GA, USA., Bykhovsky MR; Division of Pediatric Cardiology, Department of Pediatrics, Augusta University, Augusta, GA, USA., Kapoor D; Division of Cardiology, Department of Medicine, Augusta University, Augusta, GA, USA., Bates WB; Division of Radiology, Department of Medicine, Augusta University, Augusta, GA, USA., Murdison KA; Division of Pediatric Cardiology, Department of Pediatrics, Augusta University, Augusta, GA, USA., Polimenakos AC; Division of Pediatric and Congenital Cardiothoracic Surgery, Department of Surgery, Augusta University, Augusta, GA, USA.
Jazyk:	angličtina
Zdroj:	World journal for pediatric & congenital heart surgery [World J Pediatr Congenit Heart Surg] 2021 Jan; Vol. 12 (1), pp. 139-141. Date of Electronic Publication: 2019 Apr 24.
DOI:	10.1177/2150135118816291
Abstrakt:	Anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is a very rare and potentially fatal congenital heart defect due to myocardial ischemia secondary to coronary steal phenomenon. We present a case of an adult presenting with a myocardial infarction who was found to have ARCAPA. Three-dimensional (3D) reconstructed computed tomography angiography (CTA) was utilized preoperatively for surgical planning. Surgical technique as well as pre- and postoperative 3D CTA are described and literature reviewed.
Databáze:	MEDLINE
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