title: Anomalous origin of right coronary artery from pulmonary artery and severe mitral regurgitation due to myxomatous mitral valve disease: a case report and literature review.
abstract: Anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is an uncommon congenital coronary artery anomaly. In contrast to anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), most of the patients with ARCAPA remain asymptomatic. However, few cases of angina, heart failure and sudden cardiac death depicting the malignant nature of the disease are described in the literature. We report an unusual case of ARCAPA with severe mitral valve regurgitation and pulmonary hypertension. Echocardiography and angiography were utilized for the diagnosis. Surgical correction was provided to our patient and should be considered for all patients with this potentially fatal disease.
authors.affiliation: University of Illinois at Chicago/Advocate Christ Medical Center, Oak Lawn, Illinois, USA. modiharshit@hotmail.com
authors.forename: Harshit
authors.initials: H
authors.lastname: Modi
authors.forename: Aekarach
authors.initials: A
authors.lastname: Ariyachaipanich
authors.forename: Muhyaldeen
authors.initials: M
authors.lastname: Dia
mesh_terms: D001027:Aortography; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis*; D017548:Echocardiography, Transesophageal; D006801:Humans; D006976:Hypertension, Pulmonary / Q000175:diagnosis; D033162:Incidental Findings; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000175:diagnosis*; D011651:Pulmonary Artery / Q000002:abnormalities*; D011669:Pulmonary Wedge Pressure