Three separate coronary artery ostia arising from the right coronary cusp: A case report

2001 ◽  
Vol 52 (4) ◽  
pp. 496-499 ◽  
Author(s):  
Joseph E. Lauer ◽  
Michael E. Ritchie
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Coronary Cusp ◽  
The Right ◽  
Right Coronary Cusp

Collagenous Fibroma of the Right Coronary Cusp: A Case Report and Literature Review

2014 ◽  
Vol 32 (2) ◽  
pp. 390-392
Author(s):  
Yanbo Zhu ◽  
Xiuhong Zhang ◽  
Xin Guan ◽  
Lianqun Wang
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Collagenous Fibroma ◽  
Coronary Cusp ◽  
The Right ◽  
Right Coronary Cusp

Combined dissection of the right coronary artery and right coronary cusp during coronary angiography

1995 ◽  
Vol 35 (4) ◽  
pp. 328-330 ◽  
Author(s):  
Tak Kwan ◽  
Ashraf Elsakr ◽  
Alan Feit ◽  
C. V. R. Reddy ◽  
Richard A. Stein
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Right Coronary Artery ◽  
Coronary Cusp ◽  
The Right ◽  
Right Coronary Cusp

Abstract 16067: Unique Challenge of Acs - Anomalous Left Main Coronary Artery From Right Coronary Cusp

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Srinivas Nadadur ◽  
Justice Oranefo ◽  
Muhammad Adeel ◽  
Mansour Khaddr ◽  
Wassim Mosleh
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Troponin I ◽  
Left Main Coronary Artery ◽  
Coronary Angiogram ◽  
Left Main ◽  
Unique Challenge ◽  
Coronary Cusp ◽  
The Right ◽  
Right Coronary Cusp

Introduction: Anomalous aortic origin of coronary arteries (AAOCA) is uncommon congenital anomalies of the coronary circulation. Anomalous left main coronary artery (LMCA) originating from the right cusp is one of the rarer anomalies (incidence ~ 0.03% of patients undergoing coronary angiography). Mostly asymptomatic, however, this may become clinically significant with symptoms ranging from atypical chest discomfort to sudden cardiac death. We present a case of anomalous origin LMCA from the right coronary cusp. Case presentation: A 47-year-old female presented to the ED with three days of substernal chest pressure at rest. BP 106/71 mmHg, pulse 72 bpm, normal regular heart sounds, and clear lungs. The ECG showed new anterolateral T-wave inversions. Troponin-I was 0.31 ng/ mL. Echocardiogram showed normal LVEF without focal wall motion abnormalities. Coronary angiography revealed a dominant patent RCA without any disease. LMCA originated from the right coronary cusp with focal 90% ostial LAD stenosis. The rest of the coronary tree was free of disease. CABG with LIMA to LAD and SVG to OM1 was performed. Discussion: AAOCA presents a unique challenge to diagnosis and management. CT coronary angiogram or magnetic resonance angiography is recommended for more accurate delineation of the course of the coronary vessel. The diagnostic challenge to effectively engage the anomalous artery and to obtain coronary angiogram to delineate anatomy is critical in further management. As seen in our case, this is easy to overlook and in the acute event could lead to unnecessary delay.

Anomalous left coronary artery from the right coronary cusp with gene positive apical hypertrophic cardiomyopathy: a case report and literature review

2013 ◽  
Vol 24 (3) ◽  
pp. 397-402 ◽  
Author(s):  
Justin Georgekutty ◽  
Russell R. Cross ◽  
Joanna B. Rosenthal ◽  
Deneen M. Heath ◽  
Pranava Sinha ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Hypertrophic Cardiomyopathy ◽  
The United States ◽  
Left Main ◽  
Anomalous Left Coronary Artery ◽  
Coronary Cusp ◽  
The Right ◽  
Right Coronary Cusp ◽  
Anomalous Coronary ◽  
Anomalous Left Coronary

AbstractIn the United States, hypertrophic cardiomyopathy and coronary artery anomalies account for the leading two causes of sudden death in athletes. We present a case of a patient with an anomalous origin of the left main from the right coronary sinus with associated gene-confirmed hypertrophic cardiomyopathy. The patient underwent surgical repair with unroofing of the intramural portion of the left main coronary artery with a good result. We also review the reported cases in the medical literature describing this uncommon association between anomalous coronary artery origin and hypertrophic cardiomyopathy.

scholarly journals A single, shared origin for all three coronary arteries from the right coronary cusp: a case report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Zeid Nesheiwat ◽  
Joseph Eid ◽  
Ronak Soni ◽  
Paul Harnish ◽  
Ebrahim Sabbagh ◽  
...  
Keyword(s):  
Case Report ◽  
Coronary Arteries ◽  
Coronary Cusp ◽  
The Right ◽  
Right Coronary Cusp

scholarly journals Pre-anesthesia clinic: skip it or not? A case report

2019 ◽  
pp. 221-224
Author(s):  
Amr Abdullah ◽  
Amir Fouad ◽  
Ahmed Mamdouh Esmat ◽  
Ali Elhefnawy
Keyword(s):  
Case Report ◽  
Aortic Valve ◽  
Incidental Finding ◽  
Previous History ◽  
Mobile Mass ◽  
History Of ◽  
Total Knee ◽  
Coronary Cusp ◽  
The Right ◽  
Right Coronary Cusp

We present a rare case of papillary fibroelastoma (PFE) of the aortic valve diagnosed after being referred from a pre-anesthesia clinic. This patient presented in preanesthesia clinic for assessment prior to right total knee replacement. Along with other investigations, echocardiography was ordered as the patient had a previous history of ischemic heart disease with angioplasty. There was no previous echocardiogram (ECHO) in the patient records. An incidental finding of a sclerotic aortic valve with highly mobile mass was seen attached to the right coronary cusp on the aortic side with same echogenicity as the valve. Based on this rare finding, the patient was referred to an interventional cardiac center prior to an elective orthopedic surgery.Citation: Abdullah A, Fouad A, Esmat AM, Elhefnawy A, Adeel S. Pre-anesthesia clinic: skip it or not? A case report. Anaesth. pain & intensive care 2019;23(2):221-224

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