Anomalous Origin of the Right Coronary Artery From the First Septal Perforator
Masi Javeed1, Rami Akel2, Najam Javeed3
1Internal Medicine, Hospital Corporation of America (HCA) Florida Bayonet Point Hospital, Hudson, USA.
Insights
A rare coronary artery anomaly, where the right coronary artery originates from the left anterior descending artery, caused exertional chest pain. Conservative medical management resolved the patient's symptoms effectively.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Anatomical Variations
Background:
- Coronary artery anomalies are congenital conditions that can lead to significant clinical manifestations.
- Anomalous origin of the right coronary artery is a rare variant, with potential for myocardial ischemia.
Abstract:
A 68-year-old white male presented to the clinic for chest pain and shortness of breath with exertion. Through coronary angiography, the patient was found to have an anomalous origin of the right coronary artery off the first septal perforator branch of the left anterior descending artery. The patient was treated with conservative medical therapy as symptoms had resolved, and the patient did not wish to undergo further procedures.
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