Anomalous origin of RCA from left coronary sinus presenting as PSVT and recurrent acute coronary syndromes
Anomalous origin of the right coronary artery from the left sinus of Valsalva and coursing between the aorta and pulmonary artery is a rare congenital abnormality representing less than 3% of the congenital coronary anomalies. Patients can present with myocardial ischemia, arrhythmias, or sudden car...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2016-03-01
|
| Series: | Indian Heart Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0019483216000456 |
| _version_ | 1819095234550693888 |
|---|---|
| author | Sunil Roy Narayanan |
| author_facet | Sunil Roy Narayanan |
| author_sort | Sunil Roy Narayanan |
| collection | DOAJ |
| description | Anomalous origin of the right coronary artery from the left sinus of Valsalva and coursing between the aorta and pulmonary artery is a rare congenital abnormality representing less than 3% of the congenital coronary anomalies. Patients can present with myocardial ischemia, arrhythmias, or sudden cardiac death (SCD). This diagnosis should be suspected in young patients without risk factors for coronary artery disease and the diagnosis can be confirmed easily by 64-slice MDCT angiography. Surgery is generally recommended in symptomatic patients whereas conservative management in asymptomatic patients. Incidence of SCD is rare after the age of 35 years and hence conservative treatment may be advised in asymptomatic patients over the age of 35 years. |
| first_indexed | 2024-12-21T23:40:04Z |
| format | Article |
| id | doaj.art-f81fb4fdf97248d19e5055c88b6f45e5 |
| institution | Directory Open Access Journal |
| issn | 0019-4832 |
| language | English |
| last_indexed | 2024-12-21T23:40:04Z |
| publishDate | 2016-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Heart Journal |
| spelling | doaj.art-f81fb4fdf97248d19e5055c88b6f45e52022-12-21T18:46:15ZengElsevierIndian Heart Journal0019-48322016-03-0168220821010.1016/j.ihj.2016.01.016Anomalous origin of RCA from left coronary sinus presenting as PSVT and recurrent acute coronary syndromesSunil Roy NarayananAnomalous origin of the right coronary artery from the left sinus of Valsalva and coursing between the aorta and pulmonary artery is a rare congenital abnormality representing less than 3% of the congenital coronary anomalies. Patients can present with myocardial ischemia, arrhythmias, or sudden cardiac death (SCD). This diagnosis should be suspected in young patients without risk factors for coronary artery disease and the diagnosis can be confirmed easily by 64-slice MDCT angiography. Surgery is generally recommended in symptomatic patients whereas conservative management in asymptomatic patients. Incidence of SCD is rare after the age of 35 years and hence conservative treatment may be advised in asymptomatic patients over the age of 35 years.http://www.sciencedirect.com/science/article/pii/S0019483216000456Anomalous origin of RCASupraventricular tachycardiaAcute coronary syndromeMDCT angiographyCoronary sinus |
| spellingShingle | Sunil Roy Narayanan Anomalous origin of RCA from left coronary sinus presenting as PSVT and recurrent acute coronary syndromes Indian Heart Journal Anomalous origin of RCA Supraventricular tachycardia Acute coronary syndrome MDCT angiography Coronary sinus |
| title | Anomalous origin of RCA from left coronary sinus presenting as PSVT and recurrent acute coronary syndromes |
| title_full | Anomalous origin of RCA from left coronary sinus presenting as PSVT and recurrent acute coronary syndromes |
| title_fullStr | Anomalous origin of RCA from left coronary sinus presenting as PSVT and recurrent acute coronary syndromes |
| title_full_unstemmed | Anomalous origin of RCA from left coronary sinus presenting as PSVT and recurrent acute coronary syndromes |
| title_short | Anomalous origin of RCA from left coronary sinus presenting as PSVT and recurrent acute coronary syndromes |
| title_sort | anomalous origin of rca from left coronary sinus presenting as psvt and recurrent acute coronary syndromes |
| topic | Anomalous origin of RCA Supraventricular tachycardia Acute coronary syndrome MDCT angiography Coronary sinus |
| url | http://www.sciencedirect.com/science/article/pii/S0019483216000456 |
| work_keys_str_mv | AT sunilroynarayanan anomalousoriginofrcafromleftcoronarysinuspresentingaspsvtandrecurrentacutecoronarysyndromes |