A single, shared origin for all three coronary arteries from the right coronary cusp: a case report.
J Med Case Rep
; 14(1): 94, 2020 Jul 10.
Article
em En
| MEDLINE
| ID: mdl-32646481
ABSTRACT
BACKGROUND:
Anomalous coronary arteries occur in less than 1% of the population and have been implicated in sudden cardiac and exercise-related death. The most common variant involves the left circumflex artery arising from a separate ostium than the left coronary artery. This case demonstrates a rare variation in which all three coronary arteries arise from a shared, single, ostium originating from the right coronary cusp. CASE PRESENTATION We report the case of a 63-year-old Caucasian man with a history of myocardial infarction, congestive heart failure, and atrial fibrillation who presented for syncope. Inpatient ischemic workup, including coronary angiography, demonstrated a rare coronary anomaly which included all three coronary arteries arising from a shared, single, ostium originating from the right coronary cusp. Our patient was treated conservatively with an option for coronary bypass if symptomatic.CONCLUSION:
Surgical management is indicated in high-risk patients, but the optimal management for a nonmalignant, shared origin for all three coronary arteries has not been explored in detail.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Anomalias dos Vasos Coronários
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Med Case Rep
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Estados Unidos