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Very Late Incidental Diagnosis of Anomalous Right Coronary Artery From the Pulmonary Artery

Tanush Gupta, MD; Donna D. Kang, MD

10/26/2023
Video 1. Selective left coronary angiogram.

 

Video 2. Ascending aortogram.

Video Supplement to "Very Late Incidental Diagnosis of Anomalous Right Coronary Artery From the Pulmonary Artery" (October 2023 Clinical Image)

Anomalous right coronary artery from the pulmonary artery (ARCAPA) is a rare coronary anomaly with a reported incidence of 0.002% and a variable clinical presentation. Left-to-right collaterals are usually present and provide oxygenated blood flow from the left coronary system to the right coronary artery (RCA) territory. However, even with adequate collateralization, patients can become symptomatic due to “coronary steal” into the low-pressure pulmonary circulation.

© 2023 HMP Global. All Rights Reserved.
Any views and opinions expressed are those of the author(s) and/or participants and do not necessarily reflect the views, policy, or position of The Journal of invasive Cardiology or HMP Global, their employees, and affiliates. 

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