6533b827fe1ef96bd12866a0

RESEARCH PRODUCT

A rare case of a coronary artery anomaly detected on multidetector computed tomography

Massimo MidiriMariaconcetta Di PiazzaSalvatore NovoGiuseppe AndolinaSalvatore EvolaDavide PirainoLudovico La GruttaVito Bonomo

subject

medicine.medical_specialtyCoronary Vessel AnomaliesChest painSudden deathSudden cardiac deathElectrocardiographyInternal medicineMultidetector computed tomographyCoronary artery anomalyMultidetector Computed TomographyInternal MedicinePalpitationsMedicineHumanscardiovascular diseasesSinus (anatomy)business.industryGeneral MedicineMiddle Agedmedicine.diseaseSettore MED/11 - Malattie Dell'Apparato Cardiovascolaremedicine.anatomical_structurecardiovascular systemCardiologyExercise TestFemalemedicine.symptombusinesscoronary anomalies coronary computed tomography sudden deathArtery

description

An anomalous aortic origin of the coronary artery arising from the opposite sinus with an interarterial course is a rare condition that is associated with a high risk of sudden cardiac death during or after strenuous exertion. We herein report the case of a 47-year-old woman presenting with chest pain, syncope and palpitations who presented with a rare coronary artery anomaly on multidetector computed tomography coronary artery (MDCT-CA) with prospective electrocardiogram (ECG) gating.

10.2169/internalmedicine.52.9524https://www.jstage.jst.go.jp/article/internalmedicine/52/18/52_52.9524/_article