High Risk Features of an Anomalous Origin of the Right Coronary Artery

Anomalous aortic origin of the coronary arteries (AAOCA) is a rare congenital abnormality. It is usually asymptomatic and often found incidentally during coronary angiography. However, it can also be discovered during the autopsy of young healthy adults who have suffered from sudden cardiac death (S...

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Main Authors: Dre Eleonore Campiche, Jean-Paul Vallée, David Carballo
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2021/1649723
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author Dre Eleonore Campiche
Jean-Paul Vallée
David Carballo
author_facet Dre Eleonore Campiche
Jean-Paul Vallée
David Carballo
author_sort Dre Eleonore Campiche
collection DOAJ
description Anomalous aortic origin of the coronary arteries (AAOCA) is a rare congenital abnormality. It is usually asymptomatic and often found incidentally during coronary angiography. However, it can also be discovered during the autopsy of young healthy adults who have suffered from sudden cardiac death (SCD). AAOCA represents the second most common cause of SCD in young athletes. Herein, we report a case of a 39-year-old patient with left-sided right coronary anomaly with multiple high-risk features who presented with life-threatening symptoms for SCD but normal electrocardiography, echocardiography, and cardiac markers. The coronary computed tomography revealed an anomalous coronary artery from the left sinus of Valsalva with a hypoplasic origin and a high-risk path between the aorta and the pulmonary artery with a short intramural path. He was surgically managed with a coronary artery bypass with an uneventful follow-up.
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spelling doaj-art-cb0ae73af915419ebd6b9b178fbec96d2025-02-03T05:43:47ZengWileyCase Reports in Cardiology2090-64042090-64122021-01-01202110.1155/2021/16497231649723High Risk Features of an Anomalous Origin of the Right Coronary ArteryDre Eleonore Campiche0Jean-Paul Vallée1David Carballo2Cardiology Department, University Hospitals of Geneva, 1205 Geneva, SwitzerlandRadiology Department, University Hospitals of Geneva, 1205 Geneva, SwitzerlandCardiology Department, University Hospitals of Geneva, 1205 Geneva, SwitzerlandAnomalous aortic origin of the coronary arteries (AAOCA) is a rare congenital abnormality. It is usually asymptomatic and often found incidentally during coronary angiography. However, it can also be discovered during the autopsy of young healthy adults who have suffered from sudden cardiac death (SCD). AAOCA represents the second most common cause of SCD in young athletes. Herein, we report a case of a 39-year-old patient with left-sided right coronary anomaly with multiple high-risk features who presented with life-threatening symptoms for SCD but normal electrocardiography, echocardiography, and cardiac markers. The coronary computed tomography revealed an anomalous coronary artery from the left sinus of Valsalva with a hypoplasic origin and a high-risk path between the aorta and the pulmonary artery with a short intramural path. He was surgically managed with a coronary artery bypass with an uneventful follow-up.http://dx.doi.org/10.1155/2021/1649723
spellingShingle Dre Eleonore Campiche
Jean-Paul Vallée
David Carballo
High Risk Features of an Anomalous Origin of the Right Coronary Artery
Case Reports in Cardiology
title High Risk Features of an Anomalous Origin of the Right Coronary Artery
title_full High Risk Features of an Anomalous Origin of the Right Coronary Artery
title_fullStr High Risk Features of an Anomalous Origin of the Right Coronary Artery
title_full_unstemmed High Risk Features of an Anomalous Origin of the Right Coronary Artery
title_short High Risk Features of an Anomalous Origin of the Right Coronary Artery
title_sort high risk features of an anomalous origin of the right coronary artery
url http://dx.doi.org/10.1155/2021/1649723
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