Congenital absence of right coronary artery: a rare coronary anomaly: case report
Murari Prasad Barakoti1, Mohamed Shafiu2, Kaushal Kishore Tiwari2
1Department of Cardiology, ADK Hospital, Male, Republic of Maldives.
Insights
Single coronary artery, a rare congenital heart anomaly, can present with varied symptoms. Identifying high-risk types is crucial for preventing adverse cardiac events and improving patient outcomes.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Anatomical Anomalies
Background:
- Single coronary artery (SCA) is a rare congenital anomaly originating from the aortic root.
- SCAs supply the entire heart, presenting diverse clinical manifestations.
- These can range from asymptomatic cases to life-threatening events like sudden cardiac death.
Observation:
- The clinical presentation of SCA is highly variable.
- Anatomical variations and specific origins influence risk stratification.
- Accurate identification of high-risk anatomical subtypes is essential.
Findings:
- Categorizing SCA based on clinical and anatomical features aids in risk assessment.
- Early identification of high-risk SCAs can prevent adverse cardiac events.
- Prognosis is significantly improved with timely and accurate risk stratification.
Implications:
- This classification aids clinicians in managing patients with single coronary artery anomalies.
- Improved risk stratification strategies can lead to better patient outcomes.
- Further research into specific anatomical variants and their associated risks is warranted.
Abstract:
Single coronary artery is a rare congenital anomaly in which a single coronary artery arises from the aortic root that supplies the entire heart. It has variable clinical presentations ranging from a completely benign course to sudden cardiac death. Identifying and categorizing to high-risk type based on clinical presentation and anatomical features can present adverse cardiac events and provides better prognosis.
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