Coronary Stent Placement in an Interarterial Anomalous Right Coronary Artery: An Alternative Approach in a Multimorbid High-risk Surgical Patient
Anomalous aortic origin of a coronary artery is a rare congenital anomaly and potential aetiology for sudden cardiac death. However, the mere presence of this anomaly does not portend clinical significance, and there are many factors that contribute to limiting coronary blood flow in these patients....
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2022-11-01
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| Series: | Interventional Cardiology: Reviews, Research, Resources |
| Online Access: | https://www.icrjournal.com/articleindex/icr.2021.24 |
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| author | Erik J Simon Mary Rodriguez Ziccardi Saagar Sanghvi Amer K Ardati |
| author_facet | Erik J Simon Mary Rodriguez Ziccardi Saagar Sanghvi Amer K Ardati |
| author_sort | Erik J Simon |
| collection | DOAJ |
| description | Anomalous aortic origin of a coronary artery is a rare congenital anomaly and potential aetiology for sudden cardiac death. However, the mere presence of this anomaly does not portend clinical significance, and there are many factors that contribute to limiting coronary blood flow in these patients. The standard of care for symptomatic individuals is surgical management with coronary unroofing although not all cases are amenable to surgery. We report the case of an anomalous right coronary artery with interarterial course managed by percutaneous coronary intervention due to surgical contraindication secondary to comorbidities. The proposed mechanism of action culminating in aborted sudden cardiac death is unique and involves aggravated pulmonary hypertension in an individual with severe comorbid pulmonary disease. |
| format | Article |
| id | doaj-art-93e266572437467db2d4e2620fc90b42 |
| institution | OA Journals |
| issn | 1756-1477 1756-1485 |
| language | English |
| publishDate | 2022-11-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | Interventional Cardiology: Reviews, Research, Resources |
| spelling | doaj-art-93e266572437467db2d4e2620fc90b422025-08-20T02:37:41ZengRadcliffe Medical MediaInterventional Cardiology: Reviews, Research, Resources1756-14771756-14852022-11-011710.15420/icr.2021.24Coronary Stent Placement in an Interarterial Anomalous Right Coronary Artery: An Alternative Approach in a Multimorbid High-risk Surgical PatientErik J Simon0Mary Rodriguez Ziccardi1Saagar Sanghvi2Amer K Ardati3Department of Medicine, Division of Cardiology, College of Medicine, University of Illinois, Chicago, IL, USDepartment of Medicine, Division of Cardiology, College of Medicine, University of Illinois, Chicago, IL, USDepartment of Medicine, Division of Cardiology, College of Medicine, University of Illinois, Chicago, IL, USDepartment of Medicine, Division of Cardiology, College of Medicine, University of Illinois, Chicago, IL, USAnomalous aortic origin of a coronary artery is a rare congenital anomaly and potential aetiology for sudden cardiac death. However, the mere presence of this anomaly does not portend clinical significance, and there are many factors that contribute to limiting coronary blood flow in these patients. The standard of care for symptomatic individuals is surgical management with coronary unroofing although not all cases are amenable to surgery. We report the case of an anomalous right coronary artery with interarterial course managed by percutaneous coronary intervention due to surgical contraindication secondary to comorbidities. The proposed mechanism of action culminating in aborted sudden cardiac death is unique and involves aggravated pulmonary hypertension in an individual with severe comorbid pulmonary disease.https://www.icrjournal.com/articleindex/icr.2021.24 |
| spellingShingle | Erik J Simon Mary Rodriguez Ziccardi Saagar Sanghvi Amer K Ardati Coronary Stent Placement in an Interarterial Anomalous Right Coronary Artery: An Alternative Approach in a Multimorbid High-risk Surgical Patient Interventional Cardiology: Reviews, Research, Resources |
| title | Coronary Stent Placement in an Interarterial Anomalous Right Coronary Artery: An Alternative Approach in a Multimorbid High-risk Surgical Patient |
| title_full | Coronary Stent Placement in an Interarterial Anomalous Right Coronary Artery: An Alternative Approach in a Multimorbid High-risk Surgical Patient |
| title_fullStr | Coronary Stent Placement in an Interarterial Anomalous Right Coronary Artery: An Alternative Approach in a Multimorbid High-risk Surgical Patient |
| title_full_unstemmed | Coronary Stent Placement in an Interarterial Anomalous Right Coronary Artery: An Alternative Approach in a Multimorbid High-risk Surgical Patient |
| title_short | Coronary Stent Placement in an Interarterial Anomalous Right Coronary Artery: An Alternative Approach in a Multimorbid High-risk Surgical Patient |
| title_sort | coronary stent placement in an interarterial anomalous right coronary artery an alternative approach in a multimorbid high risk surgical patient |
| url | https://www.icrjournal.com/articleindex/icr.2021.24 |
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