Successful Percutaneous Coronary Intervention in an Anomalous Origin of the Right Coronary Artery From the Ascending Aorta Above the Left Sinus of the Valsalva.
10.4070/kcj.2012.42.7.497
- Author:
Seon Ah JIN
1
;
Seok Woo SEONG
;
Song Soo KIM
;
Young Dal LEE
;
Ung Lim CHOI
;
Si Wan CHOI
;
Jin Ok JEONG
Author Information
1. Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea. jojeong@cnu.ac.kr
- Publication Type:Case Report
- Keywords:
Coronary vessel anomalies;
Angioplasty
- MeSH:
Adult;
Angioplasty;
Aorta;
Chest Pain;
Coronary Vessel Anomalies;
Coronary Vessels;
Death, Sudden;
Heart Septal Defects, Ventricular;
Humans;
Male;
Multidetector Computed Tomography;
Myocardial Ischemia;
Percutaneous Coronary Intervention;
Syncope
- From:Korean Circulation Journal
2012;42(7):497-500
- CountryRepublic of Korea
- Language:English
-
Abstract:
The anomalous origin of the right coronary artery (RCA) is a rare condition. Most RCA anomalies are usually found incidentally, but these findings have clinical significance because many patients, particularly young ones, present with sudden death, myocardial ischemia and syncope without other symptoms. We describe a case of a 39-year-old male patient that presented with effort chest pain and was diagnosed with anomalous RCA that originated from the ascending aorta with prior history of repairing ruptured sinus valsalva and ventricular septal defect. The anomalous origin of RCA was identified by multidetector computed tomography (MDCT). Successful percutaneous coronary intervention was performed guided by MDCT coronary images and intravascular ultrasound.
