State University of New York Upstate Medical University, Syracuse, USA.
St Joseph's Health Cardiovascular Institute, Syracuse, NY, USA.
J Investig Med High Impact Case Rep. 2024 Jan-Dec;12:23247096241269935. doi: 10.1177/23247096241269935.
We illustrate the case of a 62-year-old man with a symptomatic anomalous right coronary artery from pulmonary artery (ARCAPA). Our patient had presented with dyspnea on exertion with electrocardiogram showing pronounced inferior Q waves and marked inferolateral ST-T wave changes. The patient had a nuclear stress test which showed inferior wall ischemia. Subsequently, the patient underwent coronary angiography which showed an ARCAPA. The patient underwent surgical repair with reimplantation of the right coronary artery to the ascending aorta which was tolerated well. Our case illustrates ARCAPA presenting late in adulthood with ischemic symptoms that was treated with corrective surgery.
我们介绍了一例 62 岁有症状的肺动脉异常起源的右冠状动脉（ARCAPA）的患者。该患者表现为劳力性呼吸困难，心电图显示明显下壁 Q 波和广泛下外侧 ST-T 波改变。患者行核素负荷试验显示下壁缺血。随后，患者行冠状动脉造影显示 ARCAPA。患者接受了手术修复，将右冠状动脉重新植入升主动脉，手术耐受良好。我们的病例说明了 ARCAPA 可在成年后期出现缺血症状，并通过矫正手术进行治疗。
