Bhattad Pradnya Brijmohan, Jha Anil, Pacifico Luigi, Ramsaran Eddison
Cardiovascular Medicine, Saint Vincent Hospital, University of Massachusetts Chan Medical School, Worcester, USA.
Cureus. 2022 Oct 6;14(10):e29991. doi: 10.7759/cureus.29991. eCollection 2022 Oct.
Congenital coronary anomalies can be an incidental finding in the adult population. Implications of an anomalous coronary artery vary depending on its course and the anomaly. An interarterial course of an anomalous coronary artery is considered malignant with a high risk of sudden cardiac death. The presentation of the interarterial course of an anomalous coronary artery is variable. We report a rare case of an anomalous origin of a right coronary artery presenting with vague symptoms without any evidence of inducible ischemia. Given the rarity of an anomalous interarterial right coronary artery, the implications of this congenital anomaly on physical activity, treatment options including surgical correction, and estimating the risk of sudden cardiac death are difficult based on currently available data.
先天性冠状动脉异常在成人中可能是偶然发现。异常冠状动脉的影响因其走行和异常情况而异。异常冠状动脉走行于动脉之间被认为具有恶性特征，有较高的心源性猝死风险。异常冠状动脉走行于动脉之间的表现多样。我们报告一例罕见的右冠状动脉起源异常病例，患者表现为模糊症状，无任何可诱导性缺血的证据。鉴于异常走行于动脉之间的右冠状动脉罕见，基于现有数据，很难确定这种先天性异常对体力活动的影响、包括手术矫正在内的治疗选择以及评估心源性猝死风险。
