tailieunhanh - Báo cáo y học: "Right coronary artery originating from left anterior descending artery: a case report"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Right coronary artery originating from left anterior descending artery: a case report. | Tokmakoglu et al. Journal of Cardiothoracic Surgery 2010 5 49 http content 5 1 49 JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Right coronary artery originating from left anterior descending artery a case report HilmiTokmakoglu Orhan Bozoglan and Levent Ozdemir Abstract Right Coronary Artery RCA originating from left anterior descending artery is a very rare congenital coronary artery anomaly. A 66-year-old man presented with hypertension and complaints of exertional chest pain. The angiography was performed. Aortic root angiography showed no coronary ostium orginating from the right sinus of valsalva. Right coronary artery was vizualized as anomalously originating from the midportion of left anterior descending artery. Severe stenosis were seen in ostium of anomalous right coronary artery in midportion of left anterior descending and in midportion of circumflex artery. The patient was referred for coronary artery bypass grafting. The patient underwent coronary artery bypass surgery for three vessels. He was discharged home on postoperative day 7 without any complication. His echocardiogram on follow-up visit revealed good biventricular function. Background Congenital coronary artery anomalies are rare and usually an incidental finding during coronary angiography. Most of them have no clinical signifance. Right Coronary Artery RCA originating from left anterior descending artery LAD is a very rare congenital coronary artery anomaly. We present a patient with three vessel disease in whom the right coronary artery originated as a seperate branch from the midportion of LAD. Case Report A 66-year-old man with hypertension presented to the hospital with complaints of exertional chest pain for two months. His electrocardiogram and echocardiography were unremarkable. The angiography was performed upon persistent chest pain. During his diagnostic coronary angiogram multiple attempts to cannulate the RCA with the right Judkins .