Anomalous Origin of Right Coronary Artery | Zendy

Jorge Albertal | Zendy; Francisco Guevara Lynch | Zendy; Guillermo Vaccarino | Zendy; Mariano Vrancic | Zendy; Fernando Pichinini | Zendy; Mariano Albertal | Zendy

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Anomalous Origin of Right Coronary Artery

Author(s) -

Jorge Albertal,

Francisco Guevara Lynch,

Guillermo Vaccarino,

Mariano Vrancic,

Fernando Pichinini,

Mariano Albertal

Publication year - 2001

Publication title -

circulation

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 7.795

H-Index - 607

eISSN - 1524-4539

pISSN - 0009-7322

DOI - 10.1161/01.cir.103.13.e73

Subject(s) - medicine , right coronary artery , cardiology , coronary angiography , myocardial infarction

A routine transthoracic echocardiogram (TTE) was performed in a 72-year-old woman with signs and symptoms of heart failure. The 2D TTE images revealed an enlarged right coronary artery (RCA) with reverse flow draining into the pulmonary trunk and the presence of dilated septal vessels (Figure 1⇓). Coronary angiography and MRI confirmed the previous echocardiographic findings (Figures 2 to 4⇓⇓⇓). Accordingly, surgical ligation of the RCA was carried out. Before ligation, an intraoperative transesophageal echocardiogram and direct visualization revealed grossly dilated coronary arteries (14 to 16 mm in diameter) and numerous fistulas …

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