Author/Authors :
Mursleen, Asma Memorial Hospital of Tampa - Tampa General Hospital - University of South Florida - Cardiology Clinic, USA , Hartlage, Gregory Memorial Hospital of Tampa - Tampa General Hospital - University of South Florida - Cardiology Clinic, USA , Patel, Aarti Memorial Hospital of Tampa - Tampa General Hospital - University of South Florida - Cardiology Clinic, USA , Harrison, Eric E. Memorial Hospital of Tampa - Tampa General Hospital - University of South Florida - Cardiology Clinic, USA , Alberto Morales, C. Memorial Hospital of Tampa - Tampa General Hospital - University of South Florida - Cardiology Clinic, USA
Abstract :
Coronary anomalies can be observed in 1–1.2% of all angiograms performed. Majority of coronary anomalies are benign and do not
lead to cardiac ischemia; however anomalous coronary arteries from the opposite sinus (ACAOS) are often associated with sudden
cardiac deaths, typically in 0.11–0.35% of individuals who participate in vigorous physical activity (Penalver et al., 2012). Left and ˜
right ACAOS have an incidence of 0.15% and 0.92%, respectively. Left ACAOS are often associated with higher incidence of sudden
cardiac death; this could be secondary to greater territory of myocardial perfusion by the left coronary artery. ACAOS are often
asymptomatic and initially present as sudden death following exertion in young athletes. The management of left ACAOS is clear
and surgery is usually indicated. However there is a lack of consensus on the management of certain cases of right ACAOS. In this
paper a case of 20 yo M with right coronary artery from left sinus is going to be presented with a discussion on pathophysiology,
diagnosis, and management.
