Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
West China School of Medicine, Sichuan University, Chengdu, Sichuan, China, Chengdu, Sichuan, China.
Heart Surg Forum. 2021 Mar 25;24(2):E293-E295. doi: 10.1532/hsf.3477.
An anomalous right coronary artery arising from the pulmonary artery (ARCAPA) is among the least common form of congenital coronary anomalies, accounted for the incidence of only 0.002% in the general population. Most ARCAPA patients have no symptoms but may develop myocardial ischemia. Surgical correction of the anomaly is recommended to prevent subsequent fatal outcomes. Here, we reported a case of a 2-year-old female child initially hospitalized for diarrhea, but later diagnosed with an ARCAPA through echocardiogram and computed tomography. Surgical reimplantation of the right coronary artery from the pulmonary artery to the ascending aorta was performed. The patient recovered well from the surgery with no postoperative complications. In the follow-up assessments, normal coronary function and myocardial effusion were demonstrated.
起源于肺动脉的异常右冠状动脉（ARCAPA）是最不常见的先天性冠状动脉异常之一，在普通人群中的发病率仅为 0.002%。大多数 ARCAPA 患者无症状，但可能发生心肌缺血。建议手术矫正该异常，以防止后续发生致命后果。在此，我们报告了一例 2 岁女性患儿，最初因腹泻住院，但后来通过超声心动图和计算机断层扫描诊断为 ARCAPA。行右冠状动脉从肺动脉到升主动脉的再植入手术。患者术后恢复良好，无术后并发症。在随访评估中，显示正常的冠状动脉功能和心肌积液。
