Document Detail


Anomalous origin of the right coronary artery from the left coronary sinus: case report and literature review.
MedLine Citation:
PMID:  11995848     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 41-year-old man with no relevant cardiac history presented for evaluation of episodic syncope. Electrocardiography showed sinus rhythm with right bundle-branch block and Q waves in leads II, III, and aVF. Subsequent exercise treadmill testing and technetium 99m sestamibi study revealed a reversible posterior defect. Coronary angiography later showed a right coronary artery that arose from the left coronary sinus--an anomaly that has been associated with angina, myocardial infarction, and sudden cardiac death. After being informed of the potential risks and options associated with this anomaly, the patient chose long-term beta-blocker medical therapy. At follow-up, this treatment appeared to have resolved his episodic syncope.
Authors:
John S Ho; Neil E Strickman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  29     ISSN:  0730-2347     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2002  
Date Detail:
Created Date:  2002-05-08     Completed Date:  2002-10-16     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  37-9     Citation Subset:  IM    
Affiliation:
Section of Cardiology, St Luke's Episcopal Hospital and Texas Heart Institute, Houston 77030, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Coronary Angiography
Coronary Vessel Anomalies / complications*,  radionuclide imaging
Electrocardiography
Heart Block / etiology
Heart Catheterization
Humans
Male
Radiopharmaceuticals / diagnostic use
Sinus of Valsalva / abnormalities*,  radionuclide imaging
Technetium Tc 99m Sestamibi / diagnostic use
Chemical
Reg. No./Substance:
0/Radiopharmaceuticals; 109581-73-9/Technetium Tc 99m Sestamibi
Comments/Corrections
Comment In:
Tex Heart Inst J. 2002;29(3):232   [PMID:  12224737 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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