Case reportSudden Death Related to an Anomalous Origin of the Right Coronary Artery
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Comment
Half of SCD of young patients are related to structural disease. One third of these cases are nonatherosclerotic anomalies of coronary arteries [2, 3]. The incidence of such anomalies, seen on angiography, is approximately 0.8% to 1% in retrospective studies [4]. A single coronary artery (less than 0.05%), left anterior descending coronary artery or left main coronary artery originating in the right sinus of Valsalva (5% and 25%, respectively), and the RCA originating in the left sinus of
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Cited by (16)
Coronary artery abnormalities: Current clinical issues
2018, Revista Portuguesa de CardiologiaCitation Excerpt :If it has an interarterial course and there is evidence of myocardial ischemia on a stress test, it should be corrected29 but, if the patient is asymptomatic and there is no evidence of ischemia, current guidelines accept clinical follow-up and avoidance of strenuous activity, as in our case 8, the young female former fire-fighter. However, in the last 20 years, there have been at least 15 published reports of unexpected sudden death in previously asymptomatic patients with an anomalous RCA from the left sinus,30 not only during exercise31–33 but also at rest.34 Some of these patients had undergone previously normal cardiovascular examinations including ECGs, and in one case, despite a precise pre-mortem diagnosis, physical activity was not prohibited and the patient died during a soccer game.33
Surgical correction of anomalous origin of the right coronary artery arising from the pulmonary artery
2016, Cirugia CardiovascularAbnormal origin of right coronary artery and use of Tiger catheter through femoral route
2016, Indian Heart JournalCitation Excerpt :Anomalous origin of arteries can cause dyspnea, palpitation, angina, dizziness, and syncope. It may even lead to sudden death during exertion.2 Abnormal origin of RCA is usually from right coronary sinus.
Technical tips for three congenital heart operations: Modified ross-konno procedure, optimal ventricular septal defect exposure by tricuspid valve incision, coronary unroofing and endarterectomy for anomalous aortic origin of the coronary artery
2010, Operative Techniques in Thoracic and Cardiovascular SurgeryCitation Excerpt :Anomalous aortic origin of the coronary artery has been associated with myocardial ischemic syndromes and sudden death. Although some authors5 advocate coronary artery bypass as treatment for this problem, others6 note the high incidence of coronary bypass occlusion due to competitive flow from the native coronary artery. Pulmonary translocation had been advocated by Rodefeld and associates to relieve the potential extrinsic pulmonary artery pressure on the anomalous coronary artery,7 but Gulati and coworkers later modified this approach to include pulmonary artery translocation only for single coronary ostium without an intramural course; intramural coronary artery unroofing was applied to all patients with intramural courses.8
Congenital thoracic cardiovascular anomalies presenting in adulthood: A pictorial review
2009, Journal of Cardiovascular Computed TomographyCitation Excerpt :When arising from the opposite cusp, the anomalous coronary artery most often has an interarterial course (passing between the PA and right ventricular outflow tract and the aorta) (Fig. 12). These patients are at high risk of sudden cardiac death.32,38 Kinking and acute angulation at the coronary artery origin, extrinsic narrowing of the coronary artery between the great arteries, and a valvelike phenomenon at the coronary artery orifice have all been implicated.39