SYMPTOMATIC INTERARTERIAL COURSE OF CORONARY ARTERIES IN MIDDLE AGED PATIENTS

Authors

  • Abdul Nasir Department of Cardiology, Peshawar Institute of Cardiology, Peshawar-Pakistan
  • Abid Ullah Department of Cardiology, Peshawar Institute of Cardiology, Peshawar-Pakistan
  • Maryum Masoud Department of Cardiology, Peshawar Institute of Cardiology, Peshawar-Pakistan
  • Rafi ullah Jan Peshawar Institute of Cardiology https://orcid.org/0000-0002-5689-9962

DOI:

https://doi.org/10.55519/JAMC-S4-12086

Abstract

Anomalous aortic origin of a coronary artery (AAOCA) is the most common congenital abnormality and is sometimes associated with various life-threatening conditions. We present the cases of a 35-year-old male and 50 years 50-year-old female with complaints of chest pain. Patients had anomalous aortic origin of coronary arteries with the interarterial course and were treated surgically. By literature review, we came to know that the approach to treat patients with anomalous aortic origin of coronary arteries should be largely individualized and there is no ample scientific data to support any specific diagnostic modality and treatment option.

Author Biographies

Abdul Nasir, Department of Cardiology, Peshawar Institute of Cardiology, Peshawar-Pakistan

 

Abid Ullah, Department of Cardiology, Peshawar Institute of Cardiology, Peshawar-Pakistan

 

Maryum Masoud, Department of Cardiology, Peshawar Institute of Cardiology, Peshawar-Pakistan

 

References

Amado J, Carvalho M, Ferreira W, Gago P, Gama V, Bettencourt N. Coronary arteries anomalous aortic origin on a computed tomography angiography population: prevalence, characteristics and clinical impact. Int J Cardiovasc Imaging 2016;32(6):983–90.

Eckart RE, Scoville SL, Campbell CL, Shry EA, Stajduhar KC, Potter RN, et al. Sudden death in young adults: a 25-year review of autopsies in military recruits. Ann Intern Med 2004;141(11):829–34.

Cheezum MK, Liberthson RR, Shah NR, Villines TC, O’Gara PT, Landzberg MJ, et al. Anomalous aortic origin of a coronary artery from the inappropriate sinus of Valsalva. J Am Coll Cardiol 2017;69(12):1592–608.

Maron BJ, Haas TS, Ahluwalia A, Murphy CJ, Garberich RF. Demographics and epidemiology of sudden deaths in young competitive athletes: from the United States National Registry. Am J Med 2016;129(11):1170–7.

Bigler MR, Ashraf A, Seiler C, Praz F, Ueki Y, Windecker S, et al. Hemodynamic relevance of anomalous coronary arteries originating from the opposite sinus of valsalva-in search of the evidence. Front Cardiovasc Med 2021;7:591326.

Miller JA, Anavekar NS, El Yaman MM, Burkhart HM, Miller AJ, Julsrud PR. Computed tomographic angiography identification of intramural segments in anomalous coronary arteries with interarterial course. Int J Cardiovasc Imaging 2012;28(6):1525–32.

Angelini P, Uribe C, Monge J, Tobis JM, Elayda MA, Willerson JT. Origin of the right coronary artery from the opposite sinus of Valsalva in adults: characterization by intravascular ultrasonography at baseline and after stent angioplasty. Catheter Cardiovasc Interv 2015;86(2):199–208.

Kaku B, Shimizu M, Yoshio H, Mizuno S, Kanaya H, Mabuchi H. Clinical features and prognosis of Japanese patients with anomalous origin of the coronary artery. Jpn Circ J 1996;60(10):731–41.

Aubry P, Halna du Fretay X, Boudvillain O, Degrell P. Place of Angioplasty for Coronary Artery Anomalies With Interarterial Course. Front Cardiovasc Med 2021;7:596018.

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Published

2024-01-16