ABNOMALOUS ORIGIN OF THE RIGHT CORONARY ARTERY FROM THE LEFT CORONARY SINUS ON 256-SLICE MSCT: CASE REPORTS

Nguyễn Đình Minh1,
1 Vietduc University Hospital

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Abstract

Abnomalous origin of the right coronary artery from the left coronary sinus is a rare congenital anomaly. The right coronary artery has an abnomalous origin and runs between the aorta and the pulmonary trunc, so it is compressed when physical activity causing these symptoms such as syncope, myocardial ischemia, and sudden cardiac death.. Diagnosis is usually based on MDCT coronary angiography. In most cases, conservative treatment is indicated. Surgical treatment or endovascular intervention is indicated for cases at risk. We present two cases with anomalous origin of right coronary artery from the left coronary sinus that was discovered incidentally and review the literature on the diagnostic and therapeutic point of view for this malformation.

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References

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