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Anomalous Coronary Artery Variant of Common Origin from Right Coronary Cusp: A Case Report

Ullah, Aziz ; Rana, Ramesh ; Hirachan, Anish

JNMA; journal of the Nepal Medical Association, 2020-04, Vol.58 (224), p.252-254 [Periódico revisado por pares]

Nepal: Journal of the Nepal Medical Association

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Título:
Anomalous Coronary Artery Variant of Common Origin from Right Coronary Cusp: A Case Report
Autor: Ullah, Aziz ; Rana, Ramesh ; Hirachan, Anish
Assuntos: Administration, Oral ; Adrenergic beta-Antagonists - administration & dosage ; Adrenergic beta-Antagonists - therapeutic use ; Angina Pectoris - blood ; Angina Pectoris - diagnostic imaging ; Angina Pectoris - drug therapy ; Angina Pectoris - etiology ; Biomarkers - blood ; Cardiovascular Agents - administration & dosage ; Cardiovascular Agents - therapeutic use ; Case Report ; Computed Tomography Angiography ; Coronary Angiography ; coronary angiography; coronary artery disease; coronary vessel anomalies ; Coronary Vessel Anomalies - blood ; Coronary Vessel Anomalies - complications ; Coronary Vessel Anomalies - diagnostic imaging ; Echocardiography ; Electrocardiography ; Female ; Humans ; Hydroxymethylglutaryl-CoA Reductase Inhibitors - administration & dosage ; Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use ; Middle Aged ; Platelet Aggregation Inhibitors - administration & dosage ; Platelet Aggregation Inhibitors - therapeutic use
É parte de: JNMA; journal of the Nepal Medical Association, 2020-04, Vol.58 (224), p.252-254
Descrição: Coronary artery anomalies are rare congenital variants of coronary artery anatomy accounting second most common cause of sudden cardiac death in young competitive athletes. A single ostium coronary artery anomalous is an extremely rare variant with an incidence of less than 0.004%. They may present as chest pain, arrhythmia, or sudden death. Recently, advanced imaging techniques such as computed tomography and magnetic resonance imaging coronary angiography are becoming the alternatives investigation for diagnosis. We reported a rare case of 50 years old lady who presented with acute chest pain with normal electrocardiography, echocardiography, and cardiac markers. Coronary Computed tomography angiography revealed anomalous coronary artery anatomy with both right and left coronary artery arising from the large common trunk of the right coronary cusp, left main coronary artery having trans-septal course, there was no flow-limiting coronary artery disease. She was medically managed with a single antiplatelet, beta-blocker, and statin therapy.
Editor: Nepal: Journal of the Nepal Medical Association
Idioma: Inglês

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Anomalous Coronary Artery Variant of Common Origin from Right Coronary Cusp: A Case Report

Ullah, Aziz ; Rana, Ramesh ; Hirachan, Anish

Nepal: Journal of the Nepal Medical Association

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