Acute coronary syndrome in a patient with an anomaly of the right coronary artery, which originated from the medial part of the left anterior descending artery

2015 ◽  
pp. 375-375 ◽  
Author(s):  
Wojciech Wańha ◽  
Tomasz Roleder ◽  
Adam Kowalówka ◽  
Wojciech Wojakowski
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Medial Part ◽  
Coronary Syndrome ◽  
Left Anterior Descending Artery ◽  
The Right

scholarly journals Patient with Acute Coronary Syndrome in the Setting of an Extremely Rare form of Complex Congenital Anomalous Coronaries

Aorta ◽  
2021 ◽  
Author(s):  
Mahmoud Abdelnabi ◽  
Fady Gerges ◽  
Yehia Saleh ◽  
Eman Elsharkawy ◽  
Mohamed Sanhoury ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Artery ◽  
Young Patient ◽  
Right Coronary Artery ◽  
Unusual Case ◽  
Single Coronary Artery ◽  
Sinus Of Valsalva ◽  
Rare Form ◽  
Coronary Syndrome ◽  
The Right

AbstractA single coronary artery is an exceedingly rare anomaly. Hereby, we present an unusual case of a young patient with an acute coronary syndrome who was found to have a single coronary artery originating from a single ostium in the right sinus of Valsalva with dual left anterior descending (LAD) arteries arising from the right coronary artery with two different anatomical courses, and additionally one of those LADs running a malignant intra-arterial course.

Acute coronary syndrome due to complete bare metal stent fracture in the right coronary artery

2010 ◽  
Vol 139 (3) ◽  
pp. e44-e46 ◽  
Author(s):  
Emine Bilen ◽  
Ayse Saatci Yasar ◽  
Mehmet Bilge ◽  
Fatih Karakas ◽  
Ozgur Kırbas ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Bare Metal Stent ◽  
Stent Fracture ◽  
Bare Metal ◽  
Metal Stent ◽  
Coronary Syndrome ◽  
The Right

scholarly journals Percutaneous coronary intervention to left anterior descending artery/right coronary artery bifurcation: this is not a typo! A case report

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Usman Azhar Khan ◽  
Divyesh Sharma ◽  
Paul McGlinchey ◽  
Aaron Peace
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Acute Coronary Syndrome ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Intervention ◽  
Anomalous Origin ◽  
Heart Team ◽  
Coronary Syndrome ◽  
Left Anterior Descending Artery ◽  
Percutaneous Coronary

Abstract Background Anomalous origin of the right coronary artery (RCA) is a rare congenital anomaly. A single coronary artery arising from the left sinus of Valsalva, with the RCA originating from the left anterior descending artery (LAD), is extremely rare. We report the case of an anomalous origin of the RCA from the mid LAD with a significant bifurcation lesion, in the setting of an acute coronary syndrome, endangering both the RCA and LAD territories. Case summary An 85-year-old female presented with a non-ST elevation acute coronary syndrome. Transradial coronary angiography revealed an anomalous origin of the RCA arising from the mid LAD beyond a large first septal perforator. There was significant stenosis involving anomalous RCA/LAD bifurcation classified as Medina 1, 1, 1. Following discussion at heart team meeting, she underwent successful percutaneous coronary intervention. The LAD/RCA bifurcation was treated using a two-stent culotte technique without any complications. Computed tomography coronary angiogram was performed which confirmed a benign course of the anomalous RCA anterior to aorta and pulmonary artery. Discussion This anomaly poses a significant challenge in revascularization due to the large area of myocardium subtended by the LAD and RCA and usually an acute angle of bifurcation. Moreover, CTCA can be useful to ascertain the course of anomalous RCA.

scholarly journals PATTERN OF CORONARY ARTERY DOMINANCE IN KASHMIRI POPULATION—AN ANGIOGRAPHY STUDY

2020 ◽  
pp. 1-2
Author(s):  
Sayma Samoon ◽  
Syed Manzoor Ali Andrabi ◽  
Mohd Saleem Itoo
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Left Coronary Artery ◽  
Causes Of Death ◽  
Clinical Role ◽  
Coronary Syndrome ◽  
Kashmiri Population ◽  
The Mean ◽  
The Right

Background: .In developing countries like India CAD is one of the major causes of death. The pattern of coronary artery dominance has a significant clinical role. Left dominance is said to be associated with increase in acute coronary syndrome. The aim of this study was to determine the pattern of coronary artery dominance in Kashmiri population. Materials and Methods : The study was carried on 150 patients above 18 years of age who after routine clinical evaluation were to undergo coronary angiography for various indications and their angiogram was labelled as normal by cardiologist. Results: A total of 150 patients were included in the study, among them 102 were male and 48 were female patients. The mean age for females was 56.4±10.22 years with range from 40-89 years. The mean age of males were 56.1±10.83 years with range from 30-89 years. Right coronary artery was dominant in 130 (86.67%) subjects, left coronary artery was dominant in 15 (10%) subjects and co-dominant circulation was found in 5(3.33%) subjects. Conclusion: The right coronary artery dominance is more prevalent in Kashmiri population. Knowledge about coronary artery dominance provides helpful information to anatomist and is essential for interventional cardiologist.

scholarly journals A Rare Case of Takotsubo Syndrome and Acute Coronary Syndrome of the Right Coronary Artery

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Nicholas Mencer ◽  
Larry Todd Justice ◽  
William Black ◽  
Kayleigh Litton
Keyword(s):  
Acute Coronary Syndrome ◽  
Heart Disease ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Rare Case ◽  
Myocardial Damage ◽  
Takotsubo Syndrome ◽  
Benign Condition ◽  
Coronary Syndrome ◽  
The Right

Takotsubo syndrome (TTS) is an increasingly recognized heart disease that was initially regarded as a benign condition, but since has proven to cause irreversible myocardial damage, resembling that of acute coronary syndrome (ACS). The etiology of TTS is still uncertain but may be associated with catecholamine elevations during times of emotional or physical stress. Catecholamines are also understood to have prothrombotic properties, which could lead to ACS. With these similarities, differentiating these two pathologies can be difficult, especially when TTS and ACS occur simultaneously.

Acute Type-A Aortic Dissection with Obstruction of the Right Coronary Artery

2014 ◽  
Vol 17 (4) ◽  
pp. 196
Author(s):  
Erhan Kaya ◽  
Halit Yerebakan ◽  
Daniel Spielman ◽  
Omer Isik ◽  
Cevat Yakut
Keyword(s):  
Coronary Artery ◽  
Aortic Dissection ◽  
Right Coronary Artery ◽  
Type A ◽  
Sudden Onset ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Coronary Syndrome ◽  
Bentall Procedure ◽  
The Right

Occlusion of a coronary artery by an acute type A aortic dissection presents a life-threatening emergency that is rarely seen and easy to misdiagnose. We present the case of a 75-year-old male who experienced sudden onset of severe left-sided chest pain due to an acute type A aortic dissection that obstructed the right coronary artery. Following an initial misdiagnosis of acute coronary syndrome, imaging revealed the presence of an aortic dissection. An emergency modified Bentall procedure was performed, in which the damaged aorta and aortic valve were replaced.

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