Novel Assessment of Ischemia in Patients With Anomalous Right Coronary Artery
| Autor: | Lerin McCray, Kul Aggarwal, Delvise T. Fogwe, Poorna R. Karuparthi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
FFR
fractional flow reserve IVUS intravascular ultrasound medicine.medical_specialty Myocardial ischemia Ischemia Case Report Clinical Case Series Sudden death medicine.artery Internal medicine Diseases of the circulatory (Cardiovascular) system Medicine In patient Exertion Instantaneous wave-free ratio business.industry iFR anomalous right coronary artery ARCA anomalous right coronary artery medicine.disease instantaneous wave-free ratio CT computed tomography Coronary arteries dynamic coronary obstruction medicine.anatomical_structure RC666-701 Right coronary artery Cardiology iFR instantaneous wave-free ratio Cardiology and Cardiovascular Medicine business |
| Zdroj: | JACC Case Reports JACC: Case Reports, Vol 1, Iss 5, Pp 819-822 (2019) |
| ISSN: | 2666-0849 |
| Popis: | Anomalous right coronary arteries are usually benign; however, sudden death owing to myocardial ischemia, especially during exertion, have been reported in patients with intramural or interarterial course, which is likely due to dynamic obstruction. We propose a novel method of physiological evaluation with instantaneous wave-free ratio with dobutamine infusion to simulate controlled dynamic obstruction in anomalous right coronary arteries. (Level of Difficulty: Intermediate.) Graphical abstract Anomalous right coronary arteries are usually benign; however, sudden death owing to myocardial ischemia, especially during exertion, have been… |
| Databáze: | OpenAIRE |
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