Anomalous right coronary artery: A surgically correctable cause of angina pectoris

Bloomfield, Peter; Erhlich, Conrad; Folland, Edward D.; Bianco, Michael; Tow, Donald E.; Parisi, Alfred F.

doi:10.1016/0002-9149(83)90380-6

Cited by 43 publications

(11 citation statements)

References 3 publications

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“…A course of the anomalous artery between the great vessels can cause compression on the coronary arterial wall [6,7]. If the artery takes an intramural course it may adhere to the wall of the aorta.…”

Section: Routementioning

confidence: 99%

Coronary angioplasty of anomalous coronary arteries: Notes on technical aspects

Topaz

DiSciascio

Goudreau

et al. 1990

Cathet. Cardiovasc. Diagn.

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Five patients with significant atherosclerotic lesions of anomalous coronary arteries underwent coronary angioplasty of the anomalous vessel. Four patients had anomalous circumflex artery and 1 had an anomalous right coronary artery. Angiographic and clinical success was achieved in all 5 patients. To ensure adequate equipment selection special consideration should be given to angiographic characteristics of these vessels, such as the orifice configuration, exit angulation, the route the artery traverses and the location of the stenotic lesions. Major determinants for successful angioplasty in these patients are guiding catheter selection and advancement of the balloon catheter to the very proximal portion of the anomalous vessel to subsequently facilitate guide wire advancement. This data indicates that balloon angioplasty can be successfully utilized in patients with significant atherosclerotic disease of anomalous coronary arteries.

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Section: Routementioning

confidence: 99%

Coronary angioplasty of anomalous coronary arteries: Notes on technical aspects

Topaz

DiSciascio

Goudreau

et al. 1990

Cathet. Cardiovasc. Diagn.

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show abstract

“…An anomalous RCA may present with syncope, evidence of myocardial ischemia and probably sudden death. An anomalous RCA may also be asymptomatic and an incidental finding at autopsy (7)(8)(9)(10). The potential explanation for morbidity and mortality that can be associated with this anomaly include an abnormal configuration ostial and course of this vessel.…”

Section: Discussionmentioning

confidence: 99%

Primary percutaneous coronary intervention of an anomalous right coronary artery originating from the left sinus of valsalva

Conde-Vela

Sabaté²,

Jimenez-Quevedo³

et al. 2006

Acute Cardiac Care

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The presence of an anomalous origin of a coronary artery as the infarct related vessel during primary percutaneous coronary intervention for acute ST elevation myocardial infarction is rare and may present a technical challenge. We reported on a primary coronary percutaneous intervention performed in a right coronary artery originating from the left coronary sinus. The technical tips and tricks of treating congenital coronary anomalies are reviewed.

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“…In a cumulative series of angiographic studies totaling 167,4 1 1 patients , the incidence of anomalous right coronary origin was 0.14% [2]. Although initially considered benign, subsequent experiences have documented the serious pathologic potential of this anomaly, including chronic angina pectoris [4], myocardial infarction [5] , and sudden cardiac death [6]. Despite the reported angiographic experience of 233 patients with this anomaly, and additional case reports, giving a total of 254 so far described in the literature [2], there has been no mention of the presence of left-to-right collateral vessels.…”

Section: Introductionmentioning

confidence: 99%

“…The absence of collaterals in these patients will increase ischemic risk. Other patients have been described, however, with chronic angina and a positive stress test, with reversible ischemia demonstrated by perfusion imaging [4]. Angiography in these patients has also failed to show left-to-right collaterals, suggesting that the degree of ischemia became significant only with vigorous stress.…”

mentioning

confidence: 99%