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An entire coronary system arising from right coronary cusp: a rare anomaly.

Abstract

The prevalence of coronary artery anomalies is approximately 0.6% in individuals undergoing angiography. Most of the anomalies are benign, but some can lead to myocardial infarction, cardiomyopathy, and sudden cardiac death. It is very rare to have an entire coronary circulation that arises from the right coronary cusp. We present a case of a 57-year-old male who presented with complaints of chest pain and dyspnea on exertion. An invasive angiogram revealed all the three coronary arteries originating from the right coronary cusp. It is crucial to define coronary anatomy as anomalies dictate which cardiac intervention should be attempted in cases of ischemia.

Authors+Show Affiliations

Department of Medicine, WVU-Charleston Division, Charleston, WV, USA. Department of Medicine, Rapides Regional Medical Center, Alexandria, LA, USA.Department of Cardiac Surgery, Bristol Heart Institute, Bristol, UK.Department of Cardiology, Rapides Regional Medical Center, Alexandria, LA, USA.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31528292

Citation

Rawala, Muhammad Shabbir, et al. "An Entire Coronary System Arising From Right Coronary Cusp: a Rare Anomaly." Journal of Community Hospital Internal Medicine Perspectives, vol. 9, no. 4, 2019, pp. 362-364.
Rawala MS, Rizvi SI, Rizvi SB. An entire coronary system arising from right coronary cusp: a rare anomaly. J Community Hosp Intern Med Perspect. 2019;9(4):362-364.
Rawala, M. S., Rizvi, S. I., & Rizvi, S. B. (2019). An entire coronary system arising from right coronary cusp: a rare anomaly. Journal of Community Hospital Internal Medicine Perspectives, 9(4), pp. 362-364. doi:10.1080/20009666.2019.1650603.
Rawala MS, Rizvi SI, Rizvi SB. An Entire Coronary System Arising From Right Coronary Cusp: a Rare Anomaly. J Community Hosp Intern Med Perspect. 2019;9(4):362-364. PubMed PMID: 31528292.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An entire coronary system arising from right coronary cusp: a rare anomaly. AU - Rawala,Muhammad Shabbir, AU - Rizvi,Syed Imran, AU - Rizvi,Syed Bilal, Y1 - 2019/09/05/ PY - 2019/04/20/received PY - 2019/07/25/accepted PY - 2019/9/19/entrez PY - 2019/9/19/pubmed PY - 2019/9/19/medline KW - Coronary Artery Anomalies KW - right coronary cusp KW - sudden cardiac death SP - 362 EP - 364 JF - Journal of community hospital internal medicine perspectives JO - J Community Hosp Intern Med Perspect VL - 9 IS - 4 N2 - The prevalence of coronary artery anomalies is approximately 0.6% in individuals undergoing angiography. Most of the anomalies are benign, but some can lead to myocardial infarction, cardiomyopathy, and sudden cardiac death. It is very rare to have an entire coronary circulation that arises from the right coronary cusp. We present a case of a 57-year-old male who presented with complaints of chest pain and dyspnea on exertion. An invasive angiogram revealed all the three coronary arteries originating from the right coronary cusp. It is crucial to define coronary anatomy as anomalies dictate which cardiac intervention should be attempted in cases of ischemia. SN - 2000-9666 UR - https://www.unboundmedicine.com/medline/citation/31528292/An_entire_coronary_system_arising_from_right_coronary_cusp:_a_rare_anomaly L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31528292/ DB - PRIME DP - Unbound Medicine ER -