scholarly journals A Case of Malignant Course of Right Coronary Artery: Frequent Angina in Young Person

2021 ◽  
Vol 2 (2) ◽  
pp. 90
Author(s):  
Sidhi Laksono Purwowiyoto ◽  
Steven Philip Surya
Keyword(s):  
Coronary Artery ◽  
Young Adult ◽  
Right Coronary Artery ◽  
Wide Spectrum ◽  
Main Pulmonary Artery ◽  
Rare Condition ◽  
Young Person ◽  
Anomalous Coronary Artery ◽  
Atypical Chest Pain ◽  
Anomalous Coronary

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.

scholarly journals A Case of Malignant Right Coronary Artery: Frequent Angina in Young Person

2021 ◽  
Vol 57 (4) ◽  
pp. 341
Author(s):  
Sidhi Laksono Purwowiyoto ◽  
Steven Philips Surya
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Young Adult ◽  
Right Coronary Artery ◽  
Main Pulmonary Artery ◽  
Young Person ◽  
Coronary Artery Anomalies ◽  
Atypical Chest Pain ◽  
Congenital Condition ◽  
Rare Situation

Highlight:A young adult has activity-triggered atypical chest pain and diagnosed malignant RCA.Congenital anomalies  needed to be aware by cardiologists to help clinical practice.Planning a treatment about management of the CAAs condition should be undertaken by the inter-specialist team. Abstract:We presented a case a young adult with activity-triggered atypical chest pain and diagnosed with anomalous origin of right coronary artery (RCA) from the left coronary sinus with an interarterial course between the aorta and the main pulmonary artery that was detected by CT coronary angiography. This anomaly has been called malignant RCA. Coronary artery anomaly is a congenital condition. Most of the cases remain asymptomatic. This condition is also one of the most causes of sudden cardiac death, because the coronary artery examination is not regularly done. Nevertheless, during high intensity activity, it could be symptomatic and might be lethal. Diagnosing coronary artery anomalies might be tricky and cardiologists must be aware of this. The CAAs condition is a rare situation. The CAAs condition is associated with sudden death, especially intense physical activity. There was no rigid guideline for the management of the CAAs condition, so that planning a treatment in the inter-specialist team should be done.

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
Keyword(s):  
Coronary Artery ◽  
Pulmonary Artery ◽  
Right Coronary Artery ◽  
Artery Bypass ◽  
Main Pulmonary Artery ◽  
Rare Condition ◽  
Preoperative Assessment ◽  
Anomalous Coronary Artery ◽  
The Right ◽  
Anomalous Coronary

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.

Anomalous aortic origin of a right coronary artery: two brothers with an identical pattern

2021 ◽  
pp. 1-3
Author(s):  
Giuliano Giusti ◽  
Salvatore Caputo ◽  
Marco Pozzi
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Anomalous Coronary Artery ◽  
Radiological Findings ◽  
Anomalous Coronary

Abstract We report on the diagnosis of anomalous coronary artery in two brothers. Following the diagnosis of anomalous coronary artery in one sibling, we screened immediate family relatives and found the same anomaly in the older brother. Familiarity in this pathology is extremely rare. We analysed and compared clinical, echocardiographic and radiological findings in the two brothers.

Bicuspid aortic valve and anomalous right coronary artery from the opposite coronary sinus

2021 ◽  
pp. 1-3
Author(s):  
Giuliano Giusti ◽  
Mariantonia Villano ◽  
Marco Pozzi
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Right Coronary Artery ◽  
Anomalous Coronary Artery ◽  
Sinus Of Valsalva ◽  
Intravascular Ultrasonography ◽  
Large Observational Study ◽  
The Right ◽  
Anomalous Coronary

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.

Anomalous Origin of the Left Coronary Artery

1996 ◽  
Vol 4 (3) ◽  
pp. 184-185
Author(s):  
Raju Subramaniam Iyer ◽  
Nguyen Khanh Huu ◽  
Marc de Levol
Keyword(s):  
Coronary Artery ◽  
Mitral Valve ◽  
Left Coronary Artery ◽  
Main Pulmonary Artery ◽  
Mitral Insufficiency ◽  
Anomalous Coronary Artery ◽  
Valve Repair ◽  
Anomalous Left Coronary Artery ◽  
Anomalous Coronary ◽  
Anomalous Left Coronary

A 4-month-old infant with an anomalous left coronary artery underwent a surgical correction in the form of tubular reconstruction of the anomalous coronary artery using a cuff of the main pulmonary artery and creation of a viable two-coronary artery system. Subsequently, mitral valve repair was performed for severe mitral insufficiency, which had not abated after the repair of the anomalous coronary artery. This case demonstrates the difficulties in diagnosing such patients, along with the advantage of creating a viable two-coronary artery system in such sick infants.

Anomalous aortic origin of the right coronary artery from the non-coronary sinus of Valsalva

2019 ◽  
Vol 29 (4) ◽  
pp. 531-533
Author(s):  
Arpan R. Doshi ◽  
Erin K. Opfer ◽  
Daniel Forsha
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Sinus ◽  
Rare Case ◽  
Anomalous Coronary Artery ◽  
Transthoracic Echocardiogram ◽  
Sinus Of Valsalva ◽  
Premature Ventricular Contractions ◽  
The Right ◽  
Anomalous Coronary

AbstractWe report a rare case of anomalous aortic origin of the right coronary artery from the posterior/non-coronary sinus of Valsalva in a 9-year-old male diagnosed during the workup of premature ventricular contractions. The finding was initially noted on transthoracic echocardiogram and further confirmed with computed tomography. The anomalous coronary artery shows a wide ostium with no intramural or interarterial course.

Heart failure in an elderly man: where is that coronary?

2021 ◽  
pp. 1-4
Author(s):  
Charlie J. Sang ◽  
Stephen A. Clarkson ◽  
Elizabeth A. Jackson ◽  
Firas Al Solaiman ◽  
Marc G. Cribbs
Keyword(s):  
Heart Failure ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Medical Therapy ◽  
Coronary Arteries ◽  
Right Coronary Artery ◽  
Adult Population ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries

Abstract Anomalous coronary arteries from the pulmonary artery are uncommon causes of heart failure in the adult population. This case demonstrates the unusual presentation in a patient with anomalous right coronary artery from the pulmonary artery and discusses the complex pathophysiology of this lesion and the role of guideline-directed medical therapy in the management of these patients.

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