scholarly journals Preoperative Assessment of Anomalous Right Coronary Artery Arising from the Main Pulmonary Artery

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Marshall W. Winner ◽  
Subha V. Raman ◽  
Benjamin C. Sun ◽  
Juan A. Crestanello

Anomalous origin of the right coronary artery from the pulmonary artery is a rare condition. Two cases are presented in this paper. One case was treated by ligation and coronary artery bypass. The other was treated by direct reimplantation of the anomalous coronary artery into the aorta.

2021 ◽  
Vol 2 (2) ◽  
pp. 90
Author(s):  
Sidhi Laksono Purwowiyoto ◽  
Steven Philip Surya

Introduction:Congenital anomalous coronary artery is a rare condition, but it might be the biggest pitfall for cardiologist. It might be silent until the patient reach young adult and has high intensity activity. Symptomatic anomalous course of coronary artery has wide spectrum from asymptomatic until the lethal one.Case Ilustration: We present a case of young adult with activity-triggered atypical chest pain and diagnose with anomalous origin of right coronary artery (RCA) from the left coronary sinus with inter-arterial course between the aorta and the main pulmonary artery that was detected by CT coronary angiography. This anomaly has been called malignant course RCA.Discussion:Coronary artery anomaly is a congenital condition. Most of the cases are remain asymptomatic. This condition also one of the most cause for sudden cardiac death because the coronary artery examination is not regularly done. Nevertheless, during high intense activity, it will be symptomatic and might be lethal.Conclusion:Diagnose coronary artery anomalies might be tricky and cardiologist must be aware with this. More devastating, no firm guideline in treatment of right anomalous coronary artery from opposite sinus.


2021 ◽  
pp. 1-3
Author(s):  
Giuliano Giusti ◽  
Mariantonia Villano ◽  
Marco Pozzi

Abstract We report on a patient with bicuspid aortic valve and anomalous right coronary artery from the opposite sinus without evidence of intramural course. Different authors support the universal presence of intramural course in patients with origin of the right coronary artery from the opposite sinus of Valsalva in normal heart. The occurrence of both bicuspid aortic valve and the absence of intramural course may not be accidental. This might suggest a developmental interaction between bicuspid aortic valve and anomalous coronary artery. Large observational study including characterisation by intravascular ultrasonography in patients with bicuspid aortic valve and anomalous coronary is needed.


Angiology ◽  
1994 ◽  
Vol 45 (4) ◽  
pp. 325-328 ◽  
Author(s):  
Carl Gustav Dahlström ◽  
Christer Hellekant ◽  
Bengt W. Johansson ◽  
Ulf Nyman

2019 ◽  
Vol 11 (2) ◽  
pp. 244-246
Author(s):  
John Duggan ◽  
William Parker ◽  
Junewai L. Reoma ◽  
Samuel Richey ◽  
Charles Huddleston

Anomalous origin of the right coronary artery from the pulmonary artery is an extremely rare condition with an uncertain natural history. Here, we present an otherwise healthy active duty service member who was found to have anomalous right coronary artery arising from the pulmonary artery as an incidental discovery during a workup for possible pulmonary embolus. We describe a preoperative workup which showed dilation of the coronaries and evidence of ischemia. Operative technique for restoration of a two-vessel coronary system is described. Postoperative imaging demonstrated reduction in the coronary dilation and resolution of ischemia.


2005 ◽  
Vol 129 (1) ◽  
pp. 225-226 ◽  
Author(s):  
Luís A. Dallan ◽  
Luiz Augusto F. Lisboa ◽  
Carlos Alberto C. Abreu Filho ◽  
Fernando Platania ◽  
Sérgio Almeida De Oliveira

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