Anomalous origin of the right coronary artery with an interarterial course and intramural part

Simon Fuglsang Simonsen; Johan Heiberg; Jørgen Byg; Vibeke Elisabeth Hjortdal

doi:10.1016/j.ijscr.2015.07.018

Anomalous origin of the right coronary artery with an interarterial course and intramural part

Simon Fuglsang Simonsen, Johan Heiberg, Jørgen Byg, Vibeke Elisabeth Hjortdal

4 Citations (Scopus)

Abstract

INTRODUCTION: An anomalous origin and course of the right coronary artery (RCA)(1) is a very rare congenital anomaly that can be fatal if it remains undiscovered.

PRESENTATION OF CASE: In this case report, we present a patient with a one-year history of exercise-induced angina and dyspnea caused by anomalous origin of the RCA from the left sinus, and anomalous course between the aorta and the pulmonary artery.

DISCUSSION: Possible mechanisms of this disease's symptomatology are compression of the RCA between the aorta and the pulmonary artery in its anomalous inter-arterial course, and squeezing of the RCA in the proximal intramural part.

CONCLUSION: In this report, we present some unique images of the RCAs course, which contribute to the understanding of this disease's symptomatology. The patient successfully underwent surgery with Right Internal Mammary Artery to RCA (RIMA-RCA)(2) bypass with complete remission of all symptoms.

Original language	English
Journal	International Journal of Surgery Case Reports
Volume	14
Pages (from-to)	92-94
Number of pages	3
ISSN	2210-2612
DOIs	https://doi.org/10.1016/j.ijscr.2015.07.018
Publication status	Published - 28 Jul 2015
Externally published	Yes

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title = "Anomalous origin of the right coronary artery with an interarterial course and intramural part",

abstract = "INTRODUCTION: An anomalous origin and course of the right coronary artery (RCA)(1) is a very rare congenital anomaly that can be fatal if it remains undiscovered.PRESENTATION OF CASE: In this case report, we present a patient with a one-year history of exercise-induced angina and dyspnea caused by anomalous origin of the RCA from the left sinus, and anomalous course between the aorta and the pulmonary artery.DISCUSSION: Possible mechanisms of this disease's symptomatology are compression of the RCA between the aorta and the pulmonary artery in its anomalous inter-arterial course, and squeezing of the RCA in the proximal intramural part.CONCLUSION: In this report, we present some unique images of the RCAs course, which contribute to the understanding of this disease's symptomatology. The patient successfully underwent surgery with Right Internal Mammary Artery to RCA (RIMA-RCA)(2) bypass with complete remission of all symptoms.",

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doi = "10.1016/j.ijscr.2015.07.018",

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T1 - Anomalous origin of the right coronary artery with an interarterial course and intramural part

AU - Simonsen, Simon Fuglsang

AU - Heiberg, Johan

AU - Byg, Jørgen

AU - Hjortdal, Vibeke Elisabeth

PY - 2015/7/28

Y1 - 2015/7/28

N2 - INTRODUCTION: An anomalous origin and course of the right coronary artery (RCA)(1) is a very rare congenital anomaly that can be fatal if it remains undiscovered.PRESENTATION OF CASE: In this case report, we present a patient with a one-year history of exercise-induced angina and dyspnea caused by anomalous origin of the RCA from the left sinus, and anomalous course between the aorta and the pulmonary artery.DISCUSSION: Possible mechanisms of this disease's symptomatology are compression of the RCA between the aorta and the pulmonary artery in its anomalous inter-arterial course, and squeezing of the RCA in the proximal intramural part.CONCLUSION: In this report, we present some unique images of the RCAs course, which contribute to the understanding of this disease's symptomatology. The patient successfully underwent surgery with Right Internal Mammary Artery to RCA (RIMA-RCA)(2) bypass with complete remission of all symptoms.

AB - INTRODUCTION: An anomalous origin and course of the right coronary artery (RCA)(1) is a very rare congenital anomaly that can be fatal if it remains undiscovered.PRESENTATION OF CASE: In this case report, we present a patient with a one-year history of exercise-induced angina and dyspnea caused by anomalous origin of the RCA from the left sinus, and anomalous course between the aorta and the pulmonary artery.DISCUSSION: Possible mechanisms of this disease's symptomatology are compression of the RCA between the aorta and the pulmonary artery in its anomalous inter-arterial course, and squeezing of the RCA in the proximal intramural part.CONCLUSION: In this report, we present some unique images of the RCAs course, which contribute to the understanding of this disease's symptomatology. The patient successfully underwent surgery with Right Internal Mammary Artery to RCA (RIMA-RCA)(2) bypass with complete remission of all symptoms.

U2 - 10.1016/j.ijscr.2015.07.018

DO - 10.1016/j.ijscr.2015.07.018

M3 - Journal article

C2 - 26255002

SN - 2210-2612

VL - 14

SP - 92

EP - 94

JO - International Journal of Surgery Case Reports

JF - International Journal of Surgery Case Reports

ER -

Anomalous origin of the right coronary artery with an interarterial course and intramural part

Abstract

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