Origem anómala da coronària esquerda: Variante interarterial maligna com evolução clínica benigna

Translated title of the contribution: Anomalous origin of left coronary artery: A malignant interarterial variant with a benign clinical course

Maria Salomé Carvalho, Pedro De Araújo Gonçalves, Hugo Marques, Pedro Jerónimo De Sousa, Rita Calé, Hélder Dores, Daniel Ferreira, Francisco Pereira Machado, Ana Aleixo, Miguel Mota Carmo, José Roquette

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Abstract

Anomalous origin of coronary arteries represents a clinical challenge not only because of the anatomical variability, but also the possible functional consequences, pathophysiological mechanisms involved and the absence of large series in the literature that would provide evidence for clinical and therapeutic orientation. The authors describe the case of a 55-year-old male patient with a long history of atypical chest pain who was considered to have a low to intermediate likelihood of coronary artery disease. Therefore, end also bearing in mind his physical limitations (congenital left leg atrophy), he was referred for cardiac CT to rule out coronary artery disease. The exam showed a left coronary ertery erising from the right coronary cusp and with en interarterial course, between the aorta and pulmonary trunk. Although this is a potentially malignant anatomical varient with surgical indication, a conservetive approech was chosen, considering the late diagnosis and particular risk-benefit profile.

Translated title of the contributionAnomalous origin of left coronary artery: A malignant interarterial variant with a benign clinical course
Original languagePortuguese
Pages (from-to)455-458
Number of pages4
JournalRevista Portuguesa de Cardiologia
Volume31
Issue number6
DOIs
Publication statusPublished - Jun 2012

Keywords

  • Anomalous origin of coronary arteries
  • Cardiac CT
  • Sudden death

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