Details

Autor(en) / Beteiligte

• Ajam, Ali
• Rahnamoun, Zahra
• Sahebjam, Mohammad
• Sattartabar, Babak
• Razminia, Yasaman
• Ahmadi Tafti, Seyed Hossein
• Hosseini, Kaveh

Titel

Cardiac imaging findings in anomalous origin of the coronary arteries from the pulmonary artery; narrative review of the literature

Ist Teil von

• Echo research and practice, 2022-12, Vol.9 (1), p.12-12, Article 12

Ort / Verlag

England: Springer Nature B.V

Erscheinungsjahr

2022

Quelle

SpringerLink

Beschreibungen/Notizen

• Anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is a rare coronary artery malformation with an incidence of 0.002% in patients undergoing coronary angiography. It can lead to an increased risk of myocardial infarction (MI) and sudden cardiac death, even in asymptomatic patients. We conducted a review of published cases of ARCAPA using PubMed and Scopus databases and included patients over 18 years old with adequate echocardiographic data. We evaluated 28 patients with ARCAPA with a mean age of 42.8 from 1979 to 2021. Patients were diagnosed mostly by angiography and echocardiography, the most performed treatment was reimplantation (15, 53.6%) and the main echocardiographic findings were dilated coronary arteries (9, 32.1%), coronary collaterals (8, 28.6%), and retrograde flow from right coronary arteries to main pulmonary trunk (7, 25%). Although ARCAPA is rare and not as deadly as the anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) still there is a chance of serious outcomes, therefore surgical treatment should be performed upon diagnosis. Angiography is the gold standard for diagnosis, but echocardiography can be a convenient, non-invasive, and most reliable method as the primary step whenever ARCAPA is suspected.