Author/Authors :
Yuli Setianto, Budi Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Gadjah Mada and Dr. Sardjito Hospital, Yogyakarta, Indonesia , Budi Hartopo, Anggoro Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Gadjah Mada and Dr. Sardjito Hospital, Yogyakarta, Indonesia , Prastuti Ratna Gharini, Putrika Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Gadjah Mada and Dr. Sardjito Hospital, Yogyakarta, Indonesia , Taufiq, Nahar Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Gadjah Mada and Dr. Sardjito Hospital, Yogyakarta, Indonesia
Abstract :
Anomalous origination of coronary artery from the opposite sinus (ACAOS) is a rare coronary artery anomaly. Right ACAOS
with interarterial course is a type of ACAOS, which conveys a high risk for myocardial ischemia or sudden death. We reported a
case of right ACAOS with interarterial course in otherwise healthy young male. He was asymptomatic, until an obligatory medical
check-up with treadmill test showed a sign of positive ischemic response. Further work-up revealed that he had right ACAOS
with interarterial course. Watchful observation was applied to him, while strenuous physical activity and competitive sport were
absolutely prohibited.
Keywords :
Right Coronary Artery , Left Sinus , Ischemic Response , Treadmill Test