Diagnosis Using CCTA and Management of Anomalous Right Coronary Artery from the Opposite Sinus

Coronary anomalies can be observed in 1–1.2% of all angiograms performed. Majority of coronary anomalies are benign and do not lead to cardiac ischemia; however anomalous coronary arteries from the opposite sinus (ACAOS) are often associated with sudden cardiac deaths, typically in 0.11–0.35% of ind...

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Main Authors: Asma Mursleen, Gregory Hartlage, Aarti Patel, Eric E. Harrison, C. Alberto Morales
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2016/7685360
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author Asma Mursleen
Gregory Hartlage
Aarti Patel
Eric E. Harrison
C. Alberto Morales
author_facet Asma Mursleen
Gregory Hartlage
Aarti Patel
Eric E. Harrison
C. Alberto Morales
author_sort Asma Mursleen
collection DOAJ
description Coronary anomalies can be observed in 1–1.2% of all angiograms performed. Majority of coronary anomalies are benign and do not lead to cardiac ischemia; however anomalous coronary arteries from the opposite sinus (ACAOS) are often associated with sudden cardiac deaths, typically in 0.11–0.35% of individuals who participate in vigorous physical activity (Peñalver et al., 2012). Left and right ACAOS have an incidence of 0.15% and 0.92%, respectively. Left ACAOS are often associated with higher incidence of sudden cardiac death; this could be secondary to greater territory of myocardial perfusion by the left coronary artery. ACAOS are often asymptomatic and initially present as sudden death following exertion in young athletes. The management of left ACAOS is clear and surgery is usually indicated. However there is a lack of consensus on the management of certain cases of right ACAOS. In this paper a case of 20 yo M with right coronary artery from left sinus is going to be presented with a discussion on pathophysiology, diagnosis, and management.
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spelling doaj-art-156f135eee2a4703a25dd4abada01d762025-02-03T06:07:10ZengWileyCase Reports in Cardiology2090-64042090-64122016-01-01201610.1155/2016/76853607685360Diagnosis Using CCTA and Management of Anomalous Right Coronary Artery from the Opposite SinusAsma Mursleen0Gregory Hartlage1Aarti Patel2Eric E. Harrison3C. Alberto Morales4Memorial Hospital of Tampa, Tampa General Hospital, University of South Florida, Cardiology Clinic, 602 Audubon, Suite B, Tampa, FL 33609, USAMemorial Hospital of Tampa, Tampa General Hospital, University of South Florida, Cardiology Clinic, 602 Audubon, Suite B, Tampa, FL 33609, USAMemorial Hospital of Tampa, Tampa General Hospital, University of South Florida, Cardiology Clinic, 602 Audubon, Suite B, Tampa, FL 33609, USAMemorial Hospital of Tampa, Tampa General Hospital, University of South Florida, Cardiology Clinic, 602 Audubon, Suite B, Tampa, FL 33609, USAMemorial Hospital of Tampa, Tampa General Hospital, University of South Florida, Cardiology Clinic, 602 Audubon, Suite B, Tampa, FL 33609, USACoronary anomalies can be observed in 1–1.2% of all angiograms performed. Majority of coronary anomalies are benign and do not lead to cardiac ischemia; however anomalous coronary arteries from the opposite sinus (ACAOS) are often associated with sudden cardiac deaths, typically in 0.11–0.35% of individuals who participate in vigorous physical activity (Peñalver et al., 2012). Left and right ACAOS have an incidence of 0.15% and 0.92%, respectively. Left ACAOS are often associated with higher incidence of sudden cardiac death; this could be secondary to greater territory of myocardial perfusion by the left coronary artery. ACAOS are often asymptomatic and initially present as sudden death following exertion in young athletes. The management of left ACAOS is clear and surgery is usually indicated. However there is a lack of consensus on the management of certain cases of right ACAOS. In this paper a case of 20 yo M with right coronary artery from left sinus is going to be presented with a discussion on pathophysiology, diagnosis, and management.http://dx.doi.org/10.1155/2016/7685360
spellingShingle Asma Mursleen
Gregory Hartlage
Aarti Patel
Eric E. Harrison
C. Alberto Morales
Diagnosis Using CCTA and Management of Anomalous Right Coronary Artery from the Opposite Sinus
Case Reports in Cardiology
title Diagnosis Using CCTA and Management of Anomalous Right Coronary Artery from the Opposite Sinus
title_full Diagnosis Using CCTA and Management of Anomalous Right Coronary Artery from the Opposite Sinus
title_fullStr Diagnosis Using CCTA and Management of Anomalous Right Coronary Artery from the Opposite Sinus
title_full_unstemmed Diagnosis Using CCTA and Management of Anomalous Right Coronary Artery from the Opposite Sinus
title_short Diagnosis Using CCTA and Management of Anomalous Right Coronary Artery from the Opposite Sinus
title_sort diagnosis using ccta and management of anomalous right coronary artery from the opposite sinus
url http://dx.doi.org/10.1155/2016/7685360
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