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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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Detalles Bibliográficos
Autores principales: Slim, Ahmad, Thurlow, John, Blevins, Jennifer, Martinho, Shaun, Markelz, Brian
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2762240/
https://www.ncbi.nlm.nih.gov/pubmed/19841756
http://dx.doi.org/10.1155/2009/509064
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author Slim, Ahmad
Thurlow, John
Blevins, Jennifer
Martinho, Shaun
Markelz, Brian
author_facet Slim, Ahmad
Thurlow, John
Blevins, Jennifer
Martinho, Shaun
Markelz, Brian
author_sort Slim, Ahmad
collection PubMed
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 pubmed-27622402009-10-19 Discovery of a Symptomatic Left Anomalous Coronary Artery from the Opposite Sinus and Postoperative Considerations Slim, Ahmad Thurlow, John Blevins, Jennifer Martinho, Shaun Markelz, Brian Case Rep Med Case Report 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. Hindawi Publishing Corporation 2009 2009-10-15 /pmc/articles/PMC2762240/ /pubmed/19841756 http://dx.doi.org/10.1155/2009/509064 Text en Copyright © 2009 Ahmad Slim et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Slim, Ahmad
Thurlow, John
Blevins, Jennifer
Martinho, Shaun
Markelz, Brian
Discovery of a Symptomatic Left Anomalous Coronary Artery from the Opposite Sinus and Postoperative Considerations
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2762240/
https://www.ncbi.nlm.nih.gov/pubmed/19841756
http://dx.doi.org/10.1155/2009/509064
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