TY - JOUR
T1 - Anomalous origin of the right coronary artery from pulmonary artery in an adult presenting with rapid atrial fibrillation
T2 - a case report
AU - Sørgaard, Mathias Holm
AU - Kofoed, Klaus Fuglsang
AU - Abdulla, Jawdat
N1 - © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.
PY - 2023/3
Y1 - 2023/3
N2 - BACKGROUND: An anomalous origin of the right coronary artery from pulmonary artery (ARCAPA) is a very rare coronary anomaly.CASE SUMMARY: A 56-year-old man, presenting haemodynamically unstable due to very rapid atrial fibrillation, was found to have ARCAPA by coronary computed tomography angiography. He had normal left ventricular ejection fraction and without reversible ischaemia on an adenosine stress rubidium positron emission tomography. He was treated solely with betablockers and has been well since.DISCUSSION: Numerous case reports on ARCAPA have previously been published, but no previous reports have found rapid atrial fibrillation to be the primary symptom of presentation. Current evidence level concerning the treatment is low; nevertheless, surgical intervention should always be considered to prevent sudden cardiac death. The patient in this case was offered surgical intervention but declined.
AB - BACKGROUND: An anomalous origin of the right coronary artery from pulmonary artery (ARCAPA) is a very rare coronary anomaly.CASE SUMMARY: A 56-year-old man, presenting haemodynamically unstable due to very rapid atrial fibrillation, was found to have ARCAPA by coronary computed tomography angiography. He had normal left ventricular ejection fraction and without reversible ischaemia on an adenosine stress rubidium positron emission tomography. He was treated solely with betablockers and has been well since.DISCUSSION: Numerous case reports on ARCAPA have previously been published, but no previous reports have found rapid atrial fibrillation to be the primary symptom of presentation. Current evidence level concerning the treatment is low; nevertheless, surgical intervention should always be considered to prevent sudden cardiac death. The patient in this case was offered surgical intervention but declined.
UR - http://www.scopus.com/inward/record.url?scp=85153077361&partnerID=8YFLogxK
U2 - 10.1093/ehjcr/ytad113
DO - 10.1093/ehjcr/ytad113
M3 - Journal article
C2 - 36937232
SN - 2514-2119
VL - 7
SP - 1
EP - 4
JO - European Heart Journal - Case Reports
JF - European Heart Journal - Case Reports
IS - 3
M1 - ytad113
ER -