High Risk Features of an Anomalous Origin of the Right Coronary Artery

Autor: Dre Eleonore Campiche, Jean-Paul Vallée, David Carballo
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Case Reports in Cardiology, Vol 2021 (2021)
Druh dokumentu: article
ISSN: 2090-6404
2090-6412
DOI: 10.1155/2021/1649723
Popis: Anomalous aortic origin of the coronary arteries (AAOCA) is a rare congenital abnormality. It is usually asymptomatic and often found incidentally during coronary angiography. However, it can also be discovered during the autopsy of young healthy adults who have suffered from sudden cardiac death (SCD). AAOCA represents the second most common cause of SCD in young athletes. Herein, we report a case of a 39-year-old patient with left-sided right coronary anomaly with multiple high-risk features who presented with life-threatening symptoms for SCD but normal electrocardiography, echocardiography, and cardiac markers. The coronary computed tomography revealed an anomalous coronary artery from the left sinus of Valsalva with a hypoplasic origin and a high-risk path between the aorta and the pulmonary artery with a short intramural path. He was surgically managed with a coronary artery bypass with an uneventful follow-up.
Databáze: Directory of Open Access Journals
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