Life-saving myocarditis? A case in a young adult leading to discovery of an anomalous origin of the right coronary artery

2020 ◽  
Vol 30 (10) ◽  
pp. 1510-1511
Author(s):  
Rachel Rosenthal ◽  
Hannah Obasi ◽  
Daniel D. Im
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Cardiac Death ◽  
Anomalous Origin ◽  
Coronary Artery Anomalies ◽  
Life Saving ◽  
Life Threatening ◽  
The Right ◽  
Anomalous Coronary

AbstractMyocarditis and coronary artery anomalies are both potentially life-threatening aetiologies of cardiac chest pain in children. We present a case of a young man presenting with non-exertional chest pain and subsequently found to have an anomalous origin of the right coronary artery from the left coronary sinus with an interarterial course in addition to a diagnosis of myocarditis. The patient subsequently was able to undergo surgical correction of his anomalous coronary to mitigate the risk of sudden cardiac death.

scholarly journals Anomalous origin of the right coronary artery with interarterial course: a mid-term follow-up of 28 cases

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Francisco Albuquerque ◽  
Pedro de Araújo Gonçalves ◽  
Hugo Marques ◽  
António Ferreira ◽  
Pedro Freitas ◽  
...  
Keyword(s):  
Coronary Artery ◽  
High Risk ◽  
Right Coronary Artery ◽  
Cardiac Death ◽  
Anomalous Origin ◽  
Cardiac Symptoms ◽  
Asymptomatic Patients ◽  
Increased Risk ◽  
The Right

AbstractAnomalous origin of the right coronary artery from the opposite sinus (right-ACAOS) with interarterial course (IAC) has been associated with increased risk of sudden cardiac death (SCD). Widespread use of coronary computed tomography angiography (CCTA) has led to increased recognition of this condition, even among healthy individuals. Our study sought to examine the prevalence, anatomical characteristics, and outcomes of right-ACAOS with IAC in patients undergoing CCTA for suspected coronary artery disease (CAD). We conducted a retrospective analysis of consecutive patients referred for CCTA at one tertiary hospital from January 2012 to December 2020. Patients exhibiting right-ACAOS with IAC were analyzed for cardiac symptoms and mid-term occurrence of first MACE (cardiac death, SCD, non-fatal myocardial infarction (MI) or revascularization of the anomalous vessel). CCTAs were reviewed for anatomical high-risk features and concomitant CAD. Among 10,928 patients referred for CCTA, 28 patients with right-ACAOS with IAC were identified. Mean age was 55 ± 17 years, 64% were male and 11 (39.3%) presented stable cardiac symptoms. Most patients had at least one high risk anatomical feature. During follow-up, there were no cardiac deaths or aborted SCD episodes and only 1 patient underwent surgical revascularization of the anomalous vessel. Right-ACAOS with IAC is an uncommon finding (prevalence of 0.26%). In a contemporary population of predominantly asymptomatic patients who survived this condition well into adulthood, most patients were managed conservatively with a low event rate. Additional studies are needed to support medical follow-up as the preferred option in this setting.

scholarly journals Successful Percutaneous Coronary Intervention for Atherosclerotic Coronary Lesion with Anomalous Origin of the Right Coronary Artery

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Junji Matsuda ◽  
Takashi Ikenouchi ◽  
Giichi Nitta ◽  
Shunichi Kato ◽  
Kazuya Murata ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Angina Pectoris ◽  
Right Coronary Artery ◽  
Coronary Intervention ◽  
Anomalous Origin ◽  
Coronary Artery Anomalies ◽  
Exertional Dyspnea ◽  
Percutaneous Coronary Angioplasty ◽  
Percutaneous Coronary ◽  
The Right

Congenital coronary artery anomalies, including anomalous origin of a coronary artery, can manifest as life-threatening conditions, such as myocardial infarction or arrhythmia, and may even lead to sudden death associated with specific congenital anatomical features. Such arteries can also develop atherosclerotic lesions. This report describes the case of a 75-year-old man who was admitted to our hospital due to exertional dyspnea. The right coronary artery was found to originate from the left coronary sinus and exhibit tight stenosis due to atherosclerosis, causing effort angina pectoris. This case highlights the fact that coronary artery anomalies can cause angina pectoris via both atherosclerotic and nonatherosclerotic effects, and successful revascularization was achieved noninvasively via percutaneous coronary angioplasty.

Surgical repair of naturally palliated anomalous origin of the left coronary artery from the right pulmonary artery

2001 ◽  
Vol 11 (5) ◽  
pp. 568-570 ◽  
Author(s):  
Alessandro Giardini ◽  
Gaetano Gargiulo ◽  
Fernando M. Picchio
Keyword(s):  
Coronary Artery ◽  
Left Coronary Artery ◽  
Surgical Repair ◽  
Asymptomatic Patient ◽  
Pulmonary Arteries ◽  
Anomalous Origin ◽  
Right Pulmonary Artery ◽  
Life Threatening ◽  
The Right ◽  
Anomalous Coronary

Anomalous origin of the left coronary artery from the pulmonary arteries is a rare and life-threatening defect, usually needing prompt surgical correction during infancy. We describe the case of a young asymptomatic patient with this defect who underwent surgical reimplantation despite the absence of signs of myocardial ischemia, due to the presence of proximal stenosis of the anomalous coronary artery.

Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery in a Child with Chest Pain

2013 ◽  
Vol 30 (7) ◽  
pp. E222-E223 ◽  
Author(s):  
Baris Guven ◽  
Onder Doksoz ◽  
Rahmi Ozdemir ◽  
Timur Mese ◽  
Berhan Genc
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Anomalous Origin ◽  
The Right

scholarly journals A Rare Coronary Artery Anomaly: Origin of All Three Coronary Arteries from the Right Sinus of Valsalva

2015 ◽  
Vol 5 ◽  
pp. 25 ◽  
Author(s):  
Lale Pasaoglu ◽  
Ugur Toprak ◽  
Emre Nalbant ◽  
Gokhan Yagiz
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Coronary Arteries ◽  
Cardiac Death ◽  
Sinus Of Valsalva ◽  
Coronary Artery Anomalies ◽  
Non Invasive ◽  
Life Threatening ◽  
The Right ◽  
Aberrant Vessels

Left anterior descending (LAD) artery and left circumflex (LCx) coronary artery originating separately from the right sinus of valsalva is exceptionally rare and very few cases have been reported in the literature. Congenital coronary artery anomalies are generally incidental, uncommon, and asymptomatic. Some can cause severe potentially life-threatening symptoms such as myocardial ischemia and sudden cardiac death. The aberrant vessels that pass between the aorta and the pulmonary trunk pose a risk of sudden cardiac death, particularly if the vessel supplies the left coronary artery network. The electrocardiographically gated multi-detector computed tomography (MDCT) allows accurate and non-invasive depiction of coronary artery anomalies including origin, course, and termination. We report here a rare case of all three coronary arteries separately originating from the right coronary sinus, which was detected with MDCT.

scholarly journals SUDDEN CARDIAC DEATH IN THE PRESENCE OF AN INCIDENTAL ANOMALOUS ORIGIN OF THE RIGHT CORONARY ARTERY

2021 ◽  
Vol 77 (18) ◽  
pp. 2441
Author(s):  
Raji Jasty ◽  
Zachary Estep ◽  
Joseph Bahgat ◽  
Andrey Vavrenyuk ◽  
Joshua Lader ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Right Coronary Artery ◽  
Cardiac Death ◽  
Anomalous Origin ◽  
The Right
Sign in / Sign up

Export Citation Format

Share Document