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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...

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Autores principales: AlQubbany, Atif, Alqurashi, Yazeed, Zagzoog, Amin, Almehmadi, Fahad, Al-Husayni, Faisal, Ahmad, Akram, Albugami, Saad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
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.
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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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