Journal of Investigative Medicine High Impact Case Reports (Aug 2024)

Anomalous Right Coronary Artery From Pulmonary Artery Presenting as Inferior Wall Ischemia: A Case Report

  • Bharat Rawlley MBBS,
  • Pratyaksh P. Vaishnav MBBS,
  • Subaina Naeem Khalid MBBS,
  • Shweta Paulraj MD,
  • Ziad A. El-Khally MD,
  • Jamal Ahmed MD

DOI
https://doi.org/10.1177/23247096241269935
Journal volume & issue
Vol. 12

Abstract

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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.