Discovery of a Symptomatic Left Anomalous Coronary Artery from the Opposite Sinus and Postoperative Considerations

This is the case of an 18 year old active duty soldier with symptoms of exertional chest pressure and syncope who was found to have anomalous origin of the left main coronary artery (LMCA) from the right coronary cusp (RCC) traveling partially between the great vessels before taking a septal approac...

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Main Authors: Ahmad Slim, John Thurlow, Jennifer Blevins, Shaun Martinho, Brian Markelz
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2009/509064
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author Ahmad Slim
John Thurlow
Jennifer Blevins
Shaun Martinho
Brian Markelz
author_facet Ahmad Slim
John Thurlow
Jennifer Blevins
Shaun Martinho
Brian Markelz
author_sort Ahmad Slim
collection DOAJ
description This is the case of an 18 year old active duty soldier with symptoms of exertional chest pressure and syncope who was found to have anomalous origin of the left main coronary artery (LMCA) from the right coronary cusp (RCC) traveling partially between the great vessels before taking a septal approach between the left ventricular outflow tract (LVOT) and the right ventricular outflow tract (RVOT). Anomalous origin of coronary arteries is a rare condition that carries an increased risk of angina, myocardial ischemia, and sudden cardiac death (SCD). Surgical treatment of such anomalies with both high and lower risk features can be challenging, and traditional benefit from surgical correction may not be achieved due to complex anatomy. As evident by our patient, this rare condition even though benign from sudden death standpoint could be debilitating despite best efforts and available resources.
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spelling doaj-art-66f285d205f14dfbb28c11167fbd12422025-02-03T01:02:59ZengWileyCase Reports in Medicine1687-96271687-96352009-01-01200910.1155/2009/509064509064Discovery of a Symptomatic Left Anomalous Coronary Artery from the Opposite Sinus and Postoperative ConsiderationsAhmad Slim0John Thurlow1Jennifer Blevins2Shaun Martinho3Brian Markelz4Brooke Army Medical Center, San Antonio, TX 78234, USABrooke Army Medical Center, San Antonio, TX 78234, USABrooke Army Medical Center, San Antonio, TX 78234, USABrooke Army Medical Center, San Antonio, TX 78234, USABrooke Army Medical Center, San Antonio, TX 78234, USAThis is the case of an 18 year old active duty soldier with symptoms of exertional chest pressure and syncope who was found to have anomalous origin of the left main coronary artery (LMCA) from the right coronary cusp (RCC) traveling partially between the great vessels before taking a septal approach between the left ventricular outflow tract (LVOT) and the right ventricular outflow tract (RVOT). Anomalous origin of coronary arteries is a rare condition that carries an increased risk of angina, myocardial ischemia, and sudden cardiac death (SCD). Surgical treatment of such anomalies with both high and lower risk features can be challenging, and traditional benefit from surgical correction may not be achieved due to complex anatomy. As evident by our patient, this rare condition even though benign from sudden death standpoint could be debilitating despite best efforts and available resources.http://dx.doi.org/10.1155/2009/509064
spellingShingle Ahmad Slim
John Thurlow
Jennifer Blevins
Shaun Martinho
Brian Markelz
Discovery of a Symptomatic Left Anomalous Coronary Artery from the Opposite Sinus and Postoperative Considerations
Case Reports in Medicine
title Discovery of a Symptomatic Left Anomalous Coronary Artery from the Opposite Sinus and Postoperative Considerations
title_full Discovery of a Symptomatic Left Anomalous Coronary Artery from the Opposite Sinus and Postoperative Considerations
title_fullStr Discovery of a Symptomatic Left Anomalous Coronary Artery from the Opposite Sinus and Postoperative Considerations
title_full_unstemmed Discovery of a Symptomatic Left Anomalous Coronary Artery from the Opposite Sinus and Postoperative Considerations
title_short Discovery of a Symptomatic Left Anomalous Coronary Artery from the Opposite Sinus and Postoperative Considerations
title_sort discovery of a symptomatic left anomalous coronary artery from the opposite sinus and postoperative considerations
url http://dx.doi.org/10.1155/2009/509064
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