Anomalous Origin of Right Coronary Artery Associated With Hypertrophic Obstructive Cardiomyopathy

Moza, Ankush; Prashar, Rohini; Bawany, Muhammad

doi:10.1097/maj.0b013e318222b607

Cited by 8 publications

(7 citation statements)

References 6 publications

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“…We present an elderly patient with two common risk factors for SCD, which are hypertrophic cardiomyopathy (HCM) and an anomalous coronary artery. This association is unusual and was rarely described previously [ 2 ].…”

Section: Introductionsupporting

confidence: 56%

“…The dual findings of HCM and ARCALS are bothersome because both are independently associated with an increased risk of SCD. Moza et al described the first case with the two clinical entities in a young man with anginal chest pain and recurrent syncopal attacks [ 2 ]. It is not known if the risk of SCD exceeds the combined individual risks from the above conditions.…”

Section: Discussionmentioning

confidence: 99%

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Longevity in a Patient With Hypertrophic Cardiomyopathy, Anomalous Coronary Artery, and Gastrointestinal Bleeding

Myadam¹,

Grodzinsky

Thompson

2020

Cureus

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We report an unusual case of an elderly woman who presented to the hospital with melena of five-day duration. She has a past medical history of hypertrophic cardiomyopathy diagnosed three years before presentation. She was found to have arteriovenous malformations in the stomach and the duodenum, causing gastrointestinal bleeding. An association between hypertrophic cardiomyopathy and arteriovenous malformations in the gastrointestinal tract was felt likely. The patient was treated with beta-blocker therapy. Later, she was incidentally found to have an anomalous right coronary artery. We discussed potential medical and surgical options, and the patient chose to be treated medically. She was successfully treated with beta-blocker therapy with no further gastrointestinal bleeding. Her clinical course was uncomplicated without cardiac arrhythmia, heart failure, or sudden cardiac death.

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Section: Introductionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Longevity in a Patient With Hypertrophic Cardiomyopathy, Anomalous Coronary Artery, and Gastrointestinal Bleeding

Myadam¹,

Grodzinsky

Thompson

2020

Cureus

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“…It also gives additional information regarding any stenotic lesion in these anomalous vessels [3]. Echocardiography (Echo), magnetic resonance angiography (MRA), MCDT, and cardiac catheterization are all complementary diagnostic tools for evaluating anomalous coronary arteries [10].…”

Section: Discussionmentioning

confidence: 99%

A Case of an Anomalous Right Coronary Artery Arising from the Left Coronary Cusp

Rawala¹,

Longi²,

Khan³

et al. 2019

Cureus

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An anomalous origin of the right coronary artery is usually asymptomatic. It is mostly found incidentally on an invasive diagnostic angiogram. It does lead to an increased risk of sudden cardiac death, especially in younger patients. We present a case of a 41-year-old who had presented to the hospital with complaints of chest pain. The patient was evaluated by cardiology who performed an angiography that identified an anomalous origin of the right coronary artery arising from the left coronary cusp but no evidence of coronary artery disease. Once identified, these anomalous vessels should be corrected surgically, as these conditions increase the risk of sudden cardiac death arrhythmia and ischemic events.

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“…Efthimiadis et al 1 described a 45-year-old man with a known history of HCM who was admitted with atypical chest pain and was found to have an anomalous RCA. Moza et al 2 reported a 29-year-old man who presented with chest pain on a background of recurrent syncopal episodes. Tyczyn´ski et al described a 65-year-old man with an anomalous RCA who underwent corrective surgery for HCM 3.…”

Section: Discussionmentioning

confidence: 99%

Double trouble: hypertrophic cardiomyopathy coexistent with malignant anomalous right coronary artery

2014

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A 40-year-old man with no cardiac history was admitted for evaluation of atypical chest pain of 1-month duration. On investigation he was found to have hypertrophic cardiomyopathy and an anomalous right coronary artery arising from the left sinus of Valsalva. This is of great clinical significance as both these conditions are independently associated with sudden cardiac death. Following extensive risk assessment and detailed discussion with the patient, he was discharged on medical therapy, comprising bisoprolol, aspirin and rosuvastatin. He has remained free of symptoms for 1 year. This report describes the rare coexistence of these two distinct clinical entities, examines the various treatment options and provides support for medical management as an acceptable treatment strategy in appropriately selected cases.

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Anomalous Origin of Right Coronary Artery Associated With Hypertrophic Obstructive Cardiomyopathy

Cited by 8 publications

References 6 publications

Longevity in a Patient With Hypertrophic Cardiomyopathy, Anomalous Coronary Artery, and Gastrointestinal Bleeding

Longevity in a Patient With Hypertrophic Cardiomyopathy, Anomalous Coronary Artery, and Gastrointestinal Bleeding

A Case of an Anomalous Right Coronary Artery Arising from the Left Coronary Cusp

Double trouble: hypertrophic cardiomyopathy coexistent with malignant anomalous right coronary artery

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