Journal article
Anomalous Coronary Artery: Run of a Lifetime
Seminars in cardiothoracic and vascular anesthesia, v 20(3), pp 232-236
Sep 2016
PMID: 26359348
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The anatomy of the coronary circulation is well described with incidence of congenital anomalies of approximately 0.3% to 1.0%. Although often incidental, 20% are life-threatening. A 25-year-old woman with syncopal episodes collapsed following a 10-km run. Coronary anatomy evaluation showed an anomalous left main coronary artery originating from the right sinus of valsalva and following a course between the aorta and the pulmonary outflow tract. Percutaneous coronary intervention was followed by eventual surgical revascularization. Abnormal course of coronary arteries plays a role in the pathogenesis of sudden death on exertion. Origin of the left main coronary from the right sinus of valsalva is a rare congenital anomaly. The expansion of the roots of the aorta and pulmonary trunk with exertion lead to compression of the coronary artery and syncope. Our patient raises awareness of a potentially fatal coronary artery path. Intraoperative identification of anomalous coronaries by utilizing intraoperative transesophageal echocardiography was critical.
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Details
- Title
- Anomalous Coronary Artery: Run of a Lifetime
- Creators
- Michael Stuart Green - Hahnemann University HospitalSankalp Sehgal - Hahnemann University HospitalNaomi Smukler - Hahnemann University HospitalLaDouglas Jarod Suber - Hahnemann University HospitalPooven Saththasivam - Hahnemann University Hospital
- Publication Details
- Seminars in cardiothoracic and vascular anesthesia, v 20(3), pp 232-236
- Publisher
- Sage
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Anesthesiology and Perioperative Medicine
- Web of Science ID
- WOS:000383869700007
- Scopus ID
- 2-s2.0-84978986518
- Other Identifier
- 991019168104804721
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- Web of Science research areas
- Anesthesiology