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Anomalous Coronary Arteries: A Cause for Malignant Arrhythmias
Anomalous aortic origin of a coronary artery (AAOCA) is a congenital condition that can lead to sudden cardiac death (SCD), particularly among young individuals. The cause of SCD is thought to be ischemia, primarily related to the course of the anomalous coronary artery. Surgical intervention, such...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10306351/ https://www.ncbi.nlm.nih.gov/pubmed/37388603 http://dx.doi.org/10.7759/cureus.39658 |
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author | AlQubbany, Atif Alqurashi, Yazeed Zagzoog, Amin Almehmadi, Fahad Al-Husayni, Faisal Ahmad, Akram Albugami, Saad |
author_facet | AlQubbany, Atif Alqurashi, Yazeed Zagzoog, Amin Almehmadi, Fahad Al-Husayni, Faisal Ahmad, Akram Albugami, Saad |
author_sort | AlQubbany, Atif |
collection | PubMed |
description | Anomalous aortic origin of a coronary artery (AAOCA) is a congenital condition that can lead to sudden cardiac death (SCD), particularly among young individuals. The cause of SCD is thought to be ischemia, primarily related to the course of the anomalous coronary artery. Surgical intervention, such as unroofing or coronary revascularization, is the preferred management modality for patients with evidence of ischemia or concomitant fixed obstruction. Herein, we presented a case of a 24-year-old male admitted to the emergency department with a history of palpitations, dyspnea, diaphoresis, and syncope. The patient had no prior medical diseases and was eventually diagnosed with an anomalous right coronary artery (ARCA) originating from the left coronary sinus. The patient underwent surgical unroofing of the ARCA to prevent further episodes of ischemia and ventricular arrhythmias. The case highlights that coronary artery anomalies can be life-threatening and lead to SCD, especially in young individuals with no risk factors. Investigating coronary anomalies in medically free patients presenting with cardiac symptoms and arrhythmias is crucial. |
format | Online Article Text |
id | pubmed-10306351 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-103063512023-06-29 Anomalous Coronary Arteries: A Cause for Malignant Arrhythmias AlQubbany, Atif Alqurashi, Yazeed Zagzoog, Amin Almehmadi, Fahad Al-Husayni, Faisal Ahmad, Akram Albugami, Saad Cureus Cardiac/Thoracic/Vascular Surgery Anomalous aortic origin of a coronary artery (AAOCA) is a congenital condition that can lead to sudden cardiac death (SCD), particularly among young individuals. The cause of SCD is thought to be ischemia, primarily related to the course of the anomalous coronary artery. Surgical intervention, such as unroofing or coronary revascularization, is the preferred management modality for patients with evidence of ischemia or concomitant fixed obstruction. Herein, we presented a case of a 24-year-old male admitted to the emergency department with a history of palpitations, dyspnea, diaphoresis, and syncope. The patient had no prior medical diseases and was eventually diagnosed with an anomalous right coronary artery (ARCA) originating from the left coronary sinus. The patient underwent surgical unroofing of the ARCA to prevent further episodes of ischemia and ventricular arrhythmias. The case highlights that coronary artery anomalies can be life-threatening and lead to SCD, especially in young individuals with no risk factors. Investigating coronary anomalies in medically free patients presenting with cardiac symptoms and arrhythmias is crucial. Cureus 2023-05-29 /pmc/articles/PMC10306351/ /pubmed/37388603 http://dx.doi.org/10.7759/cureus.39658 Text en Copyright © 2023, AlQubbany et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiac/Thoracic/Vascular Surgery AlQubbany, Atif Alqurashi, Yazeed Zagzoog, Amin Almehmadi, Fahad Al-Husayni, Faisal Ahmad, Akram Albugami, Saad Anomalous Coronary Arteries: A Cause for Malignant Arrhythmias |
title | Anomalous Coronary Arteries: A Cause for Malignant Arrhythmias |
title_full | Anomalous Coronary Arteries: A Cause for Malignant Arrhythmias |
title_fullStr | Anomalous Coronary Arteries: A Cause for Malignant Arrhythmias |
title_full_unstemmed | Anomalous Coronary Arteries: A Cause for Malignant Arrhythmias |
title_short | Anomalous Coronary Arteries: A Cause for Malignant Arrhythmias |
title_sort | anomalous coronary arteries: a cause for malignant arrhythmias |
topic | Cardiac/Thoracic/Vascular Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10306351/ https://www.ncbi.nlm.nih.gov/pubmed/37388603 http://dx.doi.org/10.7759/cureus.39658 |
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