An Adult Surgical Case of Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery

Norihiro Ando＊	Yasushige Shingu＊	Tomonori Ooka＊
Hiroki Kato＊＊	Tsuyoshi Tachibana＊	Suguru Kubota＊
and Yoshiro Matsui＊

（Department of Cardiovascular and Thoracic Surgery, Hokkaido University, Graduate School of Medicine＊, Sapporo, Japan, and Emergency and Critical Care Center, Hokkaido University Hospital＊＊, Sapporo, Japan）

Anomalous origin of the coronary artery from the pulmonary artery（ACAPA）is a rare congenital heart disease. A woman in her 60s was diagnosed as ARCAPA during examination for angina. A magnetic resonance image showed myocardial ischemia in a small area of the right coronary artery（RCA）and left anterior descending artery. Reimplantation of the RCA to the ascending aorta and patch plasty of the pulmonary artery were performed. Repositioning of the RCA orientation was necessary for relief of the kinking. The postoperative course was uneventful. She is now free from angina 15 months after surgery.

 

Jpn. J. Cardiovasc. Surg. 47:215-219（2018）

Keywords：anomalous origin of the right coronary artery from the pulmonary artery;surgical repair