Anomalous origin of the right coronary artery (ARCAPA): Clinical spectrum in the pediatric population based on a case report and scoping review

The anomaly of the right coronary artery originating from the pulmonary artery (ARCAPA) is an exceptionally rare congenital cardiovascular malformation, with an incidence of 0.002 % among congenital heart diseases. We present the case of a 4-month-old male infant with diaphoresis during crying, diagnosed by echocardiography and confirmed by coronary angiography. The patient underwent successful surgical reimplantation of the right coronary artery to the ascending aorta. Additionally, we conducted a scoping review of 86 pediatric cases reported in the literature, identifying clinical presentation patterns according to age groups. This report highlights the importance of timely diagnosis and early surgical management in this coronary anomaly.