Coronary Stent Placement in an Interarterial Anomalous Right Coronary Artery: An Alternative Approach in a Multimorbid High-risk Surgical Patient.

IF 0.2 0 PHILOSOPHY Interventional Cardiology Review Pub Date : 2022-01-01 DOI:10.15420/icr.2021.24
Erik J Simon, Mary Rodriguez Ziccardi, Saagar Sanghvi, Amer K Ardati
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引用次数: 1

Abstract

Anomalous aortic origin of a coronary artery is a rare congenital anomaly and potential aetiology for sudden cardiac death. However, the mere presence of this anomaly does not portend clinical significance, and there are many factors that contribute to limiting coronary blood flow in these patients. The standard of care for symptomatic individuals is surgical management with coronary unroofing although not all cases are amenable to surgery. We report the case of an anomalous right coronary artery with interarterial course managed by percutaneous coronary intervention due to surgical contraindication secondary to comorbidities. The proposed mechanism of action culminating in aborted sudden cardiac death is unique and involves aggravated pulmonary hypertension in an individual with severe comorbid pulmonary disease.

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冠状动脉支架置入动脉间异常右冠状动脉:一种多病高危手术患者的替代方法。
冠状动脉异常起源是一种罕见的先天性异常,也是心源性猝死的潜在病因。然而,这种异常的存在并不预示着临床意义,还有许多因素有助于限制这些患者的冠状动脉血流量。对有症状个体的标准护理是手术治疗冠状动脉开颅,尽管并非所有病例都适合手术。我们报告一例异常的右冠状动脉与经皮冠状动脉介入治疗,由于手术禁忌症继发于合并症。提出的作用机制最终流产心源性猝死是独特的,并涉及加重肺动脉高压与严重合并症肺部疾病的个体。
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来源期刊
Interventional Cardiology Review
Interventional Cardiology Review Medicine-Cardiology and Cardiovascular Medicine
CiteScore
0.30
自引率
0.00%
发文量
18
审稿时长
12 weeks
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