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Myocardial revascularization in anomalous origin of the right coronary artery: case report

Marcelo Sávio da Silva Martins1, Eduardo Sérgio Bastos, Jorge Viana Annibal

  • 1Hospital de Força Aérea do Galeão, RJ. msavio@cardiol.br

Revista Brasileira De Cirurgia Cardiovascular : Orgao Oficial Da Sociedade Brasileira De Cirurgia Cardiovascular
|May 20, 2008
PubMed

Insights

A rare congenital heart defect, anomalous origin of the right coronary artery, caused chest pain and syncope in a young man. Surgical correction with myocardial revascularization was successful.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Cardiac Surgery

Background:

  • Anomalous origin of the coronary artery is a rare congenital heart disease.
  • It can lead to myocardial ischemia and potentially serious cardiac events.

Observation:

  • A 21-year-old male presented with angina-like chest pain and syncope.
  • Electrocardiogram (ECG) changes indicated myocardial ischemia.
  • The cause was identified as an anomalous origin of the right coronary artery.

Findings:

  • The patient underwent surgical correction.
  • Myocardial revascularization was performed using the internal thoracic artery.
  • The literature on this rare condition was reviewed.

Implications:

  • Successful surgical intervention can resolve symptoms associated with anomalous coronary artery origin.
  • This case highlights the importance of diagnosing and treating rare congenital heart diseases.
  • Further research into the long-term outcomes of surgical correction is warranted.

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