Anomalous right coronary artery in a middle-aged patient: A case report and review of the literature. Issue 49 (December 2016)

• Record Type: Journal Article
• Authors: Rosseel, Liesbeth; Bonnier, Hans; Sonck, Jeroen
• Other Names: Elshmaa. Manal section editor.
• Is Part Of: Medicine. Volume 95:Issue 49(2016)
• Publication Date: 2016-12
• Subjects: aberrant right coronary artery -- ARCA -- case report -- coronary anomaly -- sudden cardiac death; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000005508
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Background: An anomalous right coronary artery originating from the left sinus of Valsalva is a rare, but often incidental, finding in middle-aged to elderly people. Prevalence is difficult to define, as well as determining potential harmful hemodynamic consequences. Moreover, the optimal treatment remains debatable. Case summary: The authors present a case of a middle-aged patient diagnosed with an anomalous right coronary artery causing ischemia, who was treated surgically. Conclusion: By reviewing literature, the authors conclude that choice of treatment depends on age, symptoms, and certain anatomic features of this anomaly. However, there are no randomized trials available in this field.