{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T22:33:01Z","timestamp":1783636381995,"version":"3.55.0"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2022,10,28]],"date-time":"2022-10-28T00:00:00Z","timestamp":1666915200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Anomalous right coronary artery from pulmonary artery (ARCAPA) is a rare coronary anomaly. Adult patients usually present with few symptoms due to extensive collateral network from left coronary artery, with little\/absent symptoms. Few data exist regarding surgical vs. conservative strategy for paucisymptomatic cases. Moreover, consensus is lacking.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We describe the case of a 52-year-old male patient with undiagnosed ARCAPA, who acceded to our emergency department with suspected acute myocardial infarction and was discharged with medical therapy after demonstration of mild ischaemia at myocardial perfusion imaging with dipyridamole and bicycle exercise test.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>The patient completed 2-year event-free follow up. After complete imaging assessment and thorough clinical evaluation, medical management could be regarded as valid alternative to surgery for paucisymptomatic ARCAPA patients with evidence of limited ischaemia.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytac430","type":"journal-article","created":{"date-parts":[[2022,10,28]],"date-time":"2022-10-28T18:18:20Z","timestamp":1666981100000},"source":"Crossref","is-referenced-by-count":4,"title":["Multi-imaging evaluation and long-term outcome of a patient with chest pain and an anomalous right coronary artery arising from pulmonary artery: a case report"],"prefix":"10.1093","volume":"6","author":[{"given":"Domenico","family":"Scordino","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Sciences, European Hospital and Aurelia Hospital , Via Portuense 700-00149 and Via Aurelia 860-00165, Rome , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Venturi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences, European Hospital and Aurelia Hospital , Via Portuense 700-00149 and Via Aurelia 860-00165, Rome , Italy"},{"name":"Division of Cardiology, Department of Medicine, University of Verona , Verona , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Nudi","sequence":"additional","affiliation":[{"name":"Service of Hybrid Cardio Imaging, Madonna Della Fiducia Clinic , Rome , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2196-2941","authenticated-orcid":false,"given":"Fabrizio","family":"Tomai","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences, European Hospital and Aurelia Hospital , Via Portuense 700-00149 and Via Aurelia 860-00165, Rome , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,10,28]]},"reference":[{"key":"2022111718092234100_ytac430-B1","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1016\/j.athoracsur.2020.01.082","article-title":"Anomalous origin of the right coronary artery from the pulmonary artery: a systematic review","volume":"110","author":"Guenther","year":"2020","journal-title":"Ann Thorac Surg"},{"key":"2022111718092234100_ytac430-B2","first-page":"E49","article-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","volume":"22","author":"Modi","year":"2010","journal-title":"J Invasive Cardiol"},{"key":"2022111718092234100_ytac430-B3","first-page":"e698","article-title":"2018 AHA\/ACC guideline for the management of adults with congenital heart disease: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines","volume":"139","author":"Stout","year":"2019","journal-title":"Circulation"},{"key":"2022111718092234100_ytac430-B4","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1093\/eurheartj\/ehaa554","article-title":"ESC Scientific Document Group. 2020 ESC guidelines for the management of adult congenital heart disease","volume":"42","author":"Baumgartner","year":"2021","journal-title":"Eur Heart J"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytac430\/46680909\/ytac430.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/11\/ytac430\/47104791\/ytac430.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/11\/ytac430\/47104791\/ytac430.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T18:09:46Z","timestamp":1668708586000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytac430\/6779548"}},"subtitle":[],"editor":[{"given":"Anastasia","family":"Egorova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Zain Ul Abideen","family":"Asad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"A. Shaheer","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Debbie","family":"Falconer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Aiste Monika","family":"Jakstaite","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,10,28]]},"references-count":4,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2022,11,3]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytac430","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,11,1]]},"published":{"date-parts":[[2022,10,28]]},"article-number":"ytac430"}}