Anomalous coronary artery masquerading as a root abscess: a case report
Abeline R Watkins1, Ryaan El-Andari2, Andy Liu3
1Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, T6G 2B7, Canada.
Future Cardiology
|August 9, 2024
Summary
Congenital coronary artery anomalies can mimic serious conditions like aortic root abscesses. Awareness of this atypical anatomy is crucial for accurate diagnosis in cardiac imaging.
Area of Science:
- Cardiology
- Medical Imaging
- Anatomical Pathology
Background:
- Congenital coronary artery anomalies are rare and typically benign.
- Accurate diagnosis of cardiac conditions is essential for patient outcomes.
Observation:
- A 67-year-old male presented with osteomyelitis and bacteremia.
- Transesophageal echocardiogram suggested an aortic root abscess due to a hypoechoic space.
- Cardiac surgery revealed an anomalous left coronary artery, not an abscess.
Findings:
- An anomalous left coronary artery originating from the right coronary sinus mimicked an aortic root abscess on imaging.
- The patient's presentation was complicated by osteomyelitis and persistent bacteremia.
Implications:
- This case underscores the importance of considering anomalous coronary artery anatomy in diagnosing cardiac infections.
- Awareness of congenital variations is vital for interpreting cardiac imaging, especially in complex cases.
- Diagnostic strategies should account for atypical anatomy to prevent misdiagnosis and ensure timely intervention.
