| Autor: |
Poletti Camara, Eduardo, Adolfo Fernandes, Murilo, de Oliveira Marciliano, Guilherme, Maynard Barreto, Yuri, da Silva Elias, Leandro, Teotonio Maria, Larissa, Lemos Freitas, Ana Luiza, Soares Medeiros, Luis Fernando, Sassoli Fazan, Valeria Paula |
| Předmět: |
|
| Zdroj: |
Journal of Morphological Sciences; 2023, Vol. 40, p55-58, 4p |
| Abstrakt: |
Introduction: the anomalous origin of the right coronary artery from the left sinus of Valsalva is a rare congenital anomaly found between 0.026% and 0.250% of the general population of patients undergoing coronary angiography. Case Report: we present a case of a 67-year-old female patient who presented with nonspecific sudden malaise and lipothymia associated with nausea and arterial hypotension at home. The cinecoronariography showed a dominant right coronary circulation and its anomalous origin close to the Valsalva sinus of the left coronary artery, which was occluded in the initial third. A bifurcated left coronary artery without obstructive lesion in the trunk was present, giving off a long anterior descending branch, with severe obstructions after giving off the diagonal branch and in the middle and distal segments. Several other obstructed arteries were identified. The stenotic lesion was bypassed with a 0.14 guide. Pre-dilation was performed with a 2.5x10mm balloon catheter followed by implantation of a 3.0x16mm Inspiron Stent at 12 atm pressure. The patient presented extreme bradycardia and total atrioventricular block requiring the passage of an emergency temporary transvenous pacemaker to ensure a viable cardiac rhythm. Conclusion: anatomy remains a vital part of cardiovascular training. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
