Anomalous Origin of the Right Coronary Artery Causing Myocardial Ischemia: A Case for a Multimodality Imaging Approach | Zendy

Fatimah A. Alkhunaizi | Zendy; Karan Kapoor | Zendy; Vincent A. Pallazola | Zendy; Edward P. Shapiro | Zendy; Peter V. Johnston | Zendy; Joban Vaishnav | Zendy; Nisha A. Gilotra | Zendy; Ahmet Kılıç | Zendy; Rosanne Rouf | Zendy

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Anomalous Origin of the Right Coronary Artery Causing Myocardial Ischemia: A Case for a Multimodality Imaging Approach

Author(s) -

Fatimah A. Alkhunaizi,

Karan Kapoor,

Vincent A. Pallazola,

Edward P. Shapiro,

Peter V. Johnston,

Joban Vaishnav,

Nisha A. Gilotra,

Ahmet Kılıç,

Rosanne Rouf

Publication year - 2021

Publication title -

case reports in cardiology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.106

H-Index - 5

eISSN - 2090-6412

pISSN - 2090-6404

DOI - 10.1155/2021/6686227

Subject(s) - cardiology , medicine , right coronary artery , myocardial infarction , ejection fraction , coronary artery disease , artery , coronary arteries , cardiac magnetic resonance imaging , ischemia , magnetic resonance imaging , radiology , coronary angiography , heart failure

A 46-year-old man was admitted with non-ST elevation myocardial infarction and newly diagnosed acutely decompensated heart failure. Echocardiogram demonstrated left ventricular ejection fraction of 30% with basal inferior and inferolateral akinesis. Coronary angiography showed mild diffuse coronary artery disease and an anomalous right coronary artery arising from the left coronary cusp. Further imaging was consistent with ischemia in the right coronary distribution. Etiology of ischemia was thought to be the anomalous right coronary artery, and surgical unroofing of the right coronary ostium was performed. Here, we report a multimodality imaging approach, including cardiac magnetic resonance, cardiac computed tomographic angiography, and single-photon emission computed tomography, to support the diagnosis and management of a patient with anomalous right coronary artery arising from the left coronary cusp.

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