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Right coronary artery arising from the pulmonary trunk in a 63-year-old man
Prasert Vijitbenjaronk1, D Luke Glancy, T Bruce Ferguson
1Department of Medicine, Louisiana State University Health Sciences Center, New Orleans, Louisiana 70112, USA. bkuss@lsuhsc.edu
Insights
Anomalous origin of the right coronary artery from the pulmonary trunk is rare but can occur in adults. This case highlights a 63-year-old man presenting with angina and syncope due to this congenital heart defect.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Cardiovascular Surgery
Background:
- Anomalous origin of the coronary artery from the pulmonary trunk is a rare congenital heart malformation.
- While left coronary artery anomalies are more common, right coronary artery from the pulmonary trunk is exceptionally rare.
- Symptoms can be delayed, presenting in adulthood with significant cardiovascular events.
Observation:
- A 63-year-old male presented with symptoms of angina and syncope.
- Diagnostic evaluation revealed an anomalous origin of the right coronary artery from the pulmonary trunk.
- This diagnosis in an adult highlights the potential for late presentation of this rare condition.
Findings:
- The patient's symptoms were attributed to the anomalous coronary artery originating from the pulmonary trunk.
- This finding underscores the hemodynamic significance of coronary artery anomalies.
- Surgical or interventional correction may be indicated for symptomatic patients.
Implications:
- This case emphasizes the importance of considering rare congenital heart anomalies in adult patients with unexplained cardiac symptoms.
- Timely diagnosis and management of anomalous coronary arteries are crucial for preventing adverse cardiovascular outcomes.
- Further research into the long-term prognosis and optimal treatment strategies for adult presentation of this condition is warranted.
Abstract:
Unlike anomalous origin of the left coronary artery (CA) from the pulmonary trunk (PT), right CA from the PT, a rare congenital malformation, may present in adulthood. We herein describe a man with anomalous origin of the right CA from the PT who presented with angina and syncope at age 63.