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 contribution | Anomalous origin of left coronary artery: A malignant interarterial variant with a benign clinical course |
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Original language | Portuguese |
Pages (from-to) | 455-458 |
Number of pages | 4 |
Journal | Revista Portuguesa de Cardiologia |
Volume | 31 |
Issue number | 6 |
DOIs | |
Publication status | Published - Jun 2012 |
Keywords
- Anomalous origin of coronary arteries
- Cardiac CT
- Sudden death