High Risk Reoperation Reveals an Anomalous Right Coronary Artery from the Pulmonary Artery

This case describes a patient with complex congenital heart defects and a symptomatic undiagnosed anomalous right coronary artery from the pulmonary artery (ARCAPA) that led to progressive right ventricular failure. Clinical deterioration led to a decision for a high-risk corrective reoperation, which finally established the presence of an ARCAPA after initial diagnostic challenges.

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Publication Details

Journal
World Journal for Pediatric and Congenital Heart Surgery
Published
2026-08-26
DOI
https://doi.org/10.1177/21501351261472472
Primary Topic
Coronary Artery Anomalies
Type
article
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article

High Risk Reoperation Reveals an Anomalous Right Coronary Artery from the Pulmonary Artery

Martin Kostolny, Meletios Kanakis, Lyubomyr Bohuta
World Journal for Pediatric and Congenital Heart Surgery
Coronary Artery Anomalies
article

High Risk Reoperation Reveals an Anomalous Right Coronary Artery from the Pulmonary Artery

Martin Kostolny, Meletios Kanakis, Lyubomyr Bohuta
article en

Abstract

This case describes a patient with complex congenital heart defects and a symptomatic undiagnosed anomalous right coronary artery from the pulmonary artery (ARCAPA) that led to progressive right ventricular failure. Clinical deterioration led to a decision for a high-risk corrective reoperation, which finally established the presence of an ARCAPA after initial diagnostic challenges.

World Journal for Pediatric and Congenital Heart Surgery
Seattle Children's Hospital (US), Great Ormond Street Hospital (GB), Cardiovascular Institute Hospital (JP), Onassis Cardiac Surgery Center (GR), University College London (GB)
Good health and well-being
Openalex Percentile: Top 11%
Coronary Artery Anomalies
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