Late Diagnosis of Anomalous Aortic Origin of a Coronary Artery from the Inappropriate Sinus of Valsalva during Investigation of Chest Pain.

Autor: Carvalho BPA; Cardiology and Cardiovascular Surgery Department, São José do Rio Preto Medical School, São José do Rio Preto, SP, Brazil., Dos Santos MA; Hemodynamic and Interventional Cardiology Service, Hospital de Base, São José do Rio Preto, SP, Brazil., Guimarães Neto WP; Hemodynamic and Interventional Cardiology Service, Hospital de Base, São José do Rio Preto, SP, Brazil., De França JCQ; Hemodynamic and Interventional Cardiology Service, Hospital de Base, São José do Rio Preto, SP, Brazil., Braite MRS; Hemodynamic and Interventional Cardiology Service, Hospital de Base, São José do Rio Preto, SP, Brazil., De Araújo RB; Hemodynamic and Interventional Cardiology Service, Hospital de Base, São José do Rio Preto, SP, Brazil., Carvalho IG; Hemodynamic and Interventional Cardiology Service, Hospital de Base, São José do Rio Preto, SP, Brazil., de Godoy MF; Cardiology and Cardiovascular Surgery Department, São José do Rio Preto Medical School, São José do Rio Preto, SP, Brazil.; Hemodynamic and Interventional Cardiology Service, Hospital de Base, São José do Rio Preto, SP, Brazil.
Jazyk: angličtina
Zdroj: Case reports in cardiology [Case Rep Cardiol] 2018 Jan 30; Vol. 2018, pp. 3879243. Date of Electronic Publication: 2018 Jan 30 (Print Publication: 2018).
DOI: 10.1155/2018/3879243
Abstrakt: In this work are reported two cases of anomalous aortic origin of a coronary artery (AAOCA), with the left main coronary artery (LMCA) arising at the right sinus of Valsalva in a 77-year-old woman and in a 79-year-old man submitted to angiography after positive ischemic tests. The origin of the LMCA or the left descendant artery (LDA) from the right sinus of Valsalva has a prevalence of 0.2%, the origin of the circumflex artery (CXA) from the right sinus 0.5%, and the origin of the right coronary artery (RCA) from the left sinus of Valsalva has a prevalence of 0.3%. It is the subgroup of the coronary anomalies that has the greatest potential for clinical repercussions, especially the sudden cardiac death (SCD). We discuss the diagnostic methods and treatment options for this kind of coronary anomaly in symptomatic cases.
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje