Novel Assessment of Ischemia in Patients With Anomalous Right Coronary Artery

Anomalous right coronary arteries are usually benign; however, sudden death owing to myocardial ischemia, especially during exertion, have been reported in patients with intramural or interarterial course, which is likely due to dynamic obstruction. We propose a novel method of physiological evaluat...

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Autores principales: McCray, Lerin C., Fogwe, Delvise T., Aggarwal, Kul, Karuparthi, Poorna R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8289109/
https://www.ncbi.nlm.nih.gov/pubmed/34316939
http://dx.doi.org/10.1016/j.jaccas.2019.11.013
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author McCray, Lerin C.
Fogwe, Delvise T.
Aggarwal, Kul
Karuparthi, Poorna R.
author_facet McCray, Lerin C.
Fogwe, Delvise T.
Aggarwal, Kul
Karuparthi, Poorna R.
author_sort McCray, Lerin C.
collection PubMed
description Anomalous right coronary arteries are usually benign; however, sudden death owing to myocardial ischemia, especially during exertion, have been reported in patients with intramural or interarterial course, which is likely due to dynamic obstruction. We propose a novel method of physiological evaluation with instantaneous wave-free ratio with dobutamine infusion to simulate controlled dynamic obstruction in anomalous right coronary arteries. (Level of Difficulty: Intermediate.)
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spelling pubmed-82891092021-07-26 Novel Assessment of Ischemia in Patients With Anomalous Right Coronary Artery McCray, Lerin C. Fogwe, Delvise T. Aggarwal, Kul Karuparthi, Poorna R. JACC Case Rep Case Report Anomalous right coronary arteries are usually benign; however, sudden death owing to myocardial ischemia, especially during exertion, have been reported in patients with intramural or interarterial course, which is likely due to dynamic obstruction. We propose a novel method of physiological evaluation with instantaneous wave-free ratio with dobutamine infusion to simulate controlled dynamic obstruction in anomalous right coronary arteries. (Level of Difficulty: Intermediate.) Elsevier 2019-12-18 /pmc/articles/PMC8289109/ /pubmed/34316939 http://dx.doi.org/10.1016/j.jaccas.2019.11.013 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
McCray, Lerin C.
Fogwe, Delvise T.
Aggarwal, Kul
Karuparthi, Poorna R.
Novel Assessment of Ischemia in Patients With Anomalous Right Coronary Artery
title Novel Assessment of Ischemia in Patients With Anomalous Right Coronary Artery
title_full Novel Assessment of Ischemia in Patients With Anomalous Right Coronary Artery
title_fullStr Novel Assessment of Ischemia in Patients With Anomalous Right Coronary Artery
title_full_unstemmed Novel Assessment of Ischemia in Patients With Anomalous Right Coronary Artery
title_short Novel Assessment of Ischemia in Patients With Anomalous Right Coronary Artery
title_sort novel assessment of ischemia in patients with anomalous right coronary artery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8289109/
https://www.ncbi.nlm.nih.gov/pubmed/34316939
http://dx.doi.org/10.1016/j.jaccas.2019.11.013
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