Garekar Swati, Sheth Ronak, Patil Sachin, Soni Bharat, Malankar Dhananjay P
Department of Paediatric Cardiology, Fortis Pediatric and Congenital Heart Centre, Mumbai, Maharashtra, India.
Department of Pediatric Cardiac Anaesthesia and Critical Care, Fortis Paediatric and Congenital Heart Centre, Mumbai, Maharashtra, India.
Ann Pediatr Cardiol. 2023 Nov-Dec;16(6):459-462. doi: 10.4103/apc.apc_169_23. Epub 2024 Apr 23.
An anomalous right coronary artery from the pulmonary artery (ARCAPA) is a rare congenital anomaly that does not have the typical presentation of the more common anomalous left coronary artery. We present an infant with tetralogy of Fallot with atypical findings on the preoperative echocardiogram. A cardiac computerized tomographic (CT) scan showed ARCAPA. This was confirmed intraoperatively and repaired successfully. Close attention to coronaries on echocardiography and a low threshold for additional imaging can successfully diagnose ARCAPA in the presence of additional congenital heart defects.
起源于肺动脉的异常右冠状动脉（ARCAPA）是一种罕见的先天性异常，没有更常见的异常左冠状动脉的典型表现。我们报告一名患有法洛四联症的婴儿，术前超声心动图有非典型表现。心脏计算机断层扫描（CT）显示为ARCAPA。术中得到证实并成功修复。在存在其他先天性心脏缺陷的情况下，超声心动图密切关注冠状动脉并降低额外成像的阈值可成功诊断ARCAPA。
