Cardiac Arrest in a 33-year-old Marathon Runner with Anomalous Right Coronary Artery Originating from the Pulmonary Artery

Itagaki, Ryo; Mukaida, Takuto; Miyazaki, Kensuke; Ohashi, Koichi; Kawada, Manabu; Asaoka, Daisuke

doi:10.2169/internalmedicine.7612-21

Cited by 3 publications

(9 citation statements)

References 10 publications

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“…This can lead to asymptomatic survival into adulthood [3]. On the other hand, ARCAPA is most commonly an asymptomatic disease, typically diagnosed as an incidental finding in patients from birth to over 90 years old [12,17]. The vascular resistance of the collateralized coronary circulation can lead to a balanced state with minimal shunting from the aorta to the truncus pulmonalis.…”

Section: Discussionmentioning

confidence: 99%

“…Manifestations of ARCAPA include dyspnea, fatigue, congestive heart failure, myocardial infarction, and sudden cardiac death [12]. In young patients, ARCAPA can be presented with exertional syncope, myocardial infarction, exercise-induced arrhythmias, or cardiac arrest [2,17]. Ohashi et al presented a case report of a patient with the first sign of ARCAPA manifested by cardiac arrest during a marathon run [17].…”

Section: Discussionmentioning

confidence: 99%

“…In young patients, ARCAPA can be presented with exertional syncope, myocardial infarction, exercise-induced arrhythmias, or cardiac arrest [2,17]. Ohashi et al presented a case report of a patient with the first sign of ARCAPA manifested by cardiac arrest during a marathon run [17]. It should be mentioned that only two case reports of cardiac arrest caused by ARCAPA appear in the literature [17].…”

Section: Discussionmentioning

confidence: 99%

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Anomalous Arising of Right Coronary Artery from the Pulmonary Artery

Kolesár,

Toporcer,

Čobejová

et al. 2024

JCDD

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Coronary artery anomalies are seen in less than 1% of the general population and in 1.6% of cardiac catheterization cases. The anomalous origin of the coronary artery from the pulmonary artery is one of four groups of coronary artery origin anomalies. The incidence of anomalous origin of the right coronary artery from the pulmonary artery is 1 in 500,000 and was first described in 1882 by John Brook. This case report reports on a 67-year-old man with a diagnosis of asymptomatic anomalous origin of the right coronary artery from the pulmonary artery. The patient underwent surgery of the aortic valve because of valve stenosis. A concomitant surgical procedure included repositioning of the right coronary artery origin to the aortic root sinus. The patient was discharged on the 12th postoperative day, in good condition. Anomalous origin of the right coronary artery from the pulmonary artery is commonly asymptomatic, and surgery is required only if myocardial ischemia is presented.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Anomalous Arising of Right Coronary Artery from the Pulmonary Artery

Kolesár,

Toporcer,

Čobejová

et al. 2024

JCDD

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“…These patients, although asymptomatic, are at high risk for cardiac arrest, especially during effort. Competitive sports are recommended after careful evaluation of these patients [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Challenging Diagnosis of Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery

et al. 2022

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Anomalous origin of the right coronary artery (RCA) from the pulmonary artery, ARCAPA, is an extremely rare congenital heart disease. Only 200 cases were reported from 1885 to the present. Patients diagnosed with ARCAPA can be either asymptomatic or can experience symptoms, such as heart murmur, dyspnea, or angina, shortly after birth or around 40–60 years of life. Usually, those with isolated ARCAPA are diagnosed later in life compared to those who associate other structural cardiac defects. We report two cases of anomalous origin of the right coronary artery at the level of the pulmonary artery trunk (ARCAPA) that were diagnosed by invasive coronary angiography. Although asymptomatic, general recommendations suggest an early corrective intervention to prevent complications such as myocardial ischemia and cardiac dysfunction, which can lead to sudden cardiac death.

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“…The clinical importance of ARCAPA is less than that of ALCAPA, and the actual incidence of ARCAPA may be higher than 0.002% in literature statistics. In order to improve the long-term prognosis of ARCAPA patients, it is recommended that patients with ARCAPA receive surgical correction (37).…”

Section: Anomalous Right Coronary Artery From the Pulmonary Artery (A...mentioning

confidence: 99%

Classification, diagnosis and clinical strategy of congenital coronary artery disease in children

Feng

Zhao

et al. 2023

Front. Pediatr.

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Cardiac Arrest in a 33-year-old Marathon Runner with Anomalous Right Coronary Artery Originating from the Pulmonary Artery

Cited by 3 publications

References 10 publications

Anomalous Arising of Right Coronary Artery from the Pulmonary Artery

Anomalous Arising of Right Coronary Artery from the Pulmonary Artery

Challenging Diagnosis of Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery

Classification, diagnosis and clinical strategy of congenital coronary artery disease in children

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