Anomalous origin of the right coronary artery from the pulmonary artery in a child with chest pain

Abstract

Right coronary artery arising from the pulmonary artery is extremely rare, is generally present without symptoms in childhood. We present a 7-year-old girl with anomalous right coronary artery from the pulmonary artery (ARCAPA), that might easily missed in clinical practice. Anomalous origin of the right coronary artery was noted on echocardiography. Then, catheterization and computed tomography angiography confirmed the diagnosis. Transthoracic echocardiography is still important to detect children who deserve further investigation. © 2013, Wiley Periodicals, Inc.