Anomalous right coronary artery from the main pulmonary artery (ARCAPA): Incidental finding in an asymptomatic septuagenarian

Nicole Prabhu; Brittney Guile; Maxine Tang; Linda Lee; Luis Landeras; Roberto M Lang; Nitasha Sarswat; Karima Addetia

doi:10.1016/j.radcr.2023.07.073

Anomalous right coronary artery from the main pulmonary artery (ARCAPA): Incidental finding in an asymptomatic septuagenarian

Radiol Case Rep. 2023 Aug 11;18(10):3720-3723. doi: 10.1016/j.radcr.2023.07.073. eCollection 2023 Oct.

Authors

Nicole Prabhu¹, Brittney Guile¹, Maxine Tang¹, Linda Lee¹, Luis Landeras¹, Roberto M Lang¹, Nitasha Sarswat¹, Karima Addetia¹

Affiliation

¹ Heart & Vascular Center, University of Chicago Medicine, Chicago, IL, USA.

Abstract

Anomalous right coronary artery (RCA) from the main pulmonary artery (ARCAPA) is a rare finding. Clinical presentations range from asymptomatic to sudden death. We present the case of ARCAPA in a septuagenarian initially suspected on a screening chest computed tomography (CT) and later confirmed on cardiac CT. A summary of important points related to this entity is also discussed.

Keywords: ARCAPA; Cardiac CT; Congenital heart disease; Coronary anomaly.

Publication types

Case Reports