Anomalous origin of the right coronary artery originating from the pulmonary trunk (ARCAPA) is a rare but potentially fatal anomaly. We are presenting two cases of ARCAPA and reviewing the main previous published data on this lesion. The first patient presented at the age of 5 months with respiratory distress and severe chest infection. https://www.spidertattooz.com/OPI-Infinite-Shine-Combo-Base-Top-March-In-Uniform-0-5-oz-ISHRK19-p26675/