Anomalous coronary arteries are rare conditions, especially when the origin of the right coronary artery comes from the trunk of the pulmonary artery. The manifestations of the disease can occur at an early stage, leading to sudden death, myocardial infarction or ischemic cardiomyopathy. Many reported cases have been asymptomatic for long periods. Surgery is always indicated as seen in most of the literature. We describe an angiographic case of an oligosymptomatic 76-year old patient referred for elective coronary angiography for preoperative evaluation of prostate surgery. Although surgical treatment is the first choice, especially in early diagnosis, this patient was referred for a conservative treatment.
Incidental finding of an ARCAPA during angiography
Araújo,Adriano Gonçalves de and França,Victor Eduardo de Almeida e and Borges,Pedro Arthur Ferreira and Júnior,Álvaro de Morais and Prudente,Maurício Lopes and Gardenghi,Giulliano. Incidental finding of an ARCAPA during angiography. J Transcat Intervent [online]. 2019, vol.27, [cited 2024-04-18], Available from: <https://jotci.org/article/incidental-finding-of-an-arcapa-during-angiography/>. ISSN . https://doi.org/10.31160/JOTCI201927A20190008.
Araújo,Adriano Gonçalves de; França,Victor Eduardo de Almeida e; Borges,Pedro Arthur Ferreira; Júnior,Álvaro de Morais; Prudente,Maurício Lopes; Gardenghi,Giulliano. Incidental finding of an ARCAPA during angiography. J Transcat Intervent, v.27, Aug. 2019. Available from: <https://jotci.org/article/incidental-finding-of-an-arcapa-during-angiography/>. acess on 18 Apr. 2024. https://doi.org/10.31160/JOTCI201927A20190008.
Araújo,Adriano Gonçalves de, & França,Victor Eduardo de Almeida e, & Borges,Pedro Arthur Ferreira, & Júnior,Álvaro de Morais, & Prudente,Maurício Lopes, & Gardenghi,Giulliano. (2019). Incidental finding of an ARCAPA during angiography. J Transcat Intervent, 27, https://doi.org/10.31160/JOTCI201927A20190008.
AraújoAdriano Gonçalves de, FrançaVictor Eduardo de Almeida e, BorgesPedro Arthur Ferreira, JúniorÁlvaro de Morais, PrudenteMaurício Lopes, GardenghiGiulliano. Incidental finding of an ARCAPA during angiography. J Transcat Intervent [Internet]. 2019 Aug [cited 2024 Apr 18]; 27: Available from: https://jotci.org/article/incidental-finding-of-an-arcapa-during-angiography/. https://doi.org/10.31160/JOTCI201927A20190008.
Figure 2
Coronary angiography evidentiating a dominant right coronary artery with anomalous origin from the trunk of the pulmonary artery. LMCA: left main coronary artery; LCx: left circumflex; LDA: left anterior descending; RCA: right coronary artery; CLT: collaterals.