Open Access
Anomalous origin of right coronary artery causing myocardial ischemia in a young patient
Author(s) -
Anil Kumar Singhi,
Ejaz Ahmad Bari,
Saurav Banerjee
Publication year - 2017
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/apc.apc_151_16
Subject(s) - medicine , asymptomatic , cardiology , coronary artery anomaly , myocardial ischemia , ischemia , sudden cardiac death , coronary sinus , guideline , artery , sudden death , right coronary artery , coronary angiography , myocardial infarction , pathology
Anomalous right coronary artery from left coronary sinus can have dynamic narrowing and kinking causing symptoms of myocardial ischemia and sudden cardiac death. Surgical repair of the anomaly is required in the symptomatic patient because of risk of ischemia or ventricular arrhythmia. Asymptomatic incidentally diagnosed low-risk patients can be closely followed up with exercise restriction as per present guideline.