Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Anomalous right coronary artery from pulmonary artery discovered incidentally in an asymptomatic young infant

  • Kim, Kyu Seon (Department of Pediatrics, Chungnam National University Hospital) ;
  • Jo, Eun Young (Department of Pediatrics, Chungnam National University Hospital) ;
  • Yu, Jae Hyeon (Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital) ;
  • Kil, Hong Rang (Department of Pediatrics, Chungnam National University Hospital)
  • Received : 2014.09.15
  • Accepted : 2014.10.30
  • Published : 2016.11.15
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Abstract

Isolated anomalous right coronary artery originating from the pulmonary artery (ARCAPA) is a rare congenital coronary anomaly that is asymptomatic and discovered incidentally in most cases. ARCAPA is generally not considered a fatal defect in infancy or childhood, although cases of sudden death have been reported. Here, we report a 2-month-old female infant who presented with a prolonged fever that was determined to be caused by rhinovirus infection. Myocardial ischemia of the left ventricular posterior wall was already seen on echocardiography, and ARCAPA was discovered incidentally. The patient underwent successful surgical reimplantation of the right coronary artery to the aortic root to re-establish dual ostial circulation.

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References

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