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Unusual Association of Three Types of Congenital Coronary Artery Diseases
Marc-Antoine Isorni1, Aude Amato2, Julien Guihaire3
1Cardiology Department, Marie Lannelongue Hospital, Le Plessis-Robinson, France.
Insights
Congenital coronary artery anomalies, including abnormal right coronary artery and left main artery with absent left anterior descending artery, can be high-risk. Surgical treatment successfully addressed this rare combination of congenital coronary artery disease.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Vascular Anatomy
Background:
- Congenital coronary artery anomalies are often asymptomatic but can lead to myocardial ischemia.
- Accurate classification is crucial for risk stratification and management.
- The modified Angelini's classification system categorizes various coronary artery anomalies.
Abstract:
Congenital coronary artery disease (CAD) is commonly asymptomatic and often benign. Investigation of potential myocardial ischemia is also necessary. We report an original observation of abnormal origin and course of the right coronary artery (RCA), abnormal left main artery, and agenesis of the left anterior descending (LAD) artery. This is the first report of an association of 3 types of congenital coronary artery anomaly according to the modified Angelini's classification. This high-risk condition was successfully treated surgically.
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Unusual Results
According to the range rule of thumb, any value above or below two standard deviations, 2σ from the mean, μ is considered unusual.
Maximum unusual value =...