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Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery Treated with Fistula Closure and Coronary Artery Bypass Grafting:Report of a Case Tsutomu Hataoka 1 , Tomoko Tomioka 1 , Tomoyuki Suzuki 2 , Kiichiro Kumagai 2 , Koki Ito 2 , Kei Maeda 2 , Ryuichi Taketomi 2 , Yoshikatsu Saiki 2 1Department of Cardiology, South Miyagi Medical Center Keyword: anomalous origin of the coronary artery from the pulmonary artery , coronary artery bypass grafting pp.945-949
Published Date 2021/10/1
DOI https://doi.org/10.15106/j_kyobu74_945
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An anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is a rare congenital disease, and it sometimes remains unnoticed until cardiac symptoms appear in adulthood. We report an adult case of surgically treated ARCAPA. A 72-year-old male was diagnosed with ARCAPA by examination for heart failure. The origin of the right coronary artery (RCA) was dilated, and ischemic change was found in the RCA area by myocardial scintigraphy. Therefore, coronary artery bypass grafting to distal RCA was performed at first, then the fistula was closed using an autologous pericardial patch, and the dilated origin of RCA was resected. Postoperative scintigraphy showed disappearance of the ischemic pattern, and the patient was discharged without any symptom of heart failure.


© Nankodo Co., Ltd., 2021

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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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