Anomalía coronaria sospechada por el signo "RAC" en resonancia magnética cardíaca / Anomalous coronary artery suspected by cardiac magnetic resonance "RAC" sign
Rev. chil. cardiol
;
40(1): 65-67, abr. 2021. ilus
Artículo
en Español
| LILACS
| ID: biblio-1388080
ABSTRACT
Abstract A 63 year-old-male was admitted with a non-ST-segment elevation acute coronary syndrome. Due to poor acoustic windows ventricular function could not be evaluated by echocardiography. Magnetic resonance (CMR) revealed normal biventricular size and function without fibro- sis and portraying a rare finding consisting of a tubular structure originated in the aortic root following a retro aortic course between the aorta and left atrium, traversing through the atrioventricular groove. These characteristics raised the suspicion of an anomalous coronary artery origin. Coronary angiography confirmed the presence of two coronary arteries, the right coronary artery (RCA) and the left circumflex artery (LCx) originating from the right coronary sinus via two separate ostia. The LCx followed a retro aortic course proximally be- fore irrigating the left ventricular lateral wall. From the left coronary sinus, the left anterior descending artery followed its normal course with a thin diagonal vessel that presented an acute plaque. Due to these low-risk findings, medical management was chosen.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Angiografía por Resonancia Magnética
/
Anomalías de los Vasos Coronarios
Límite:
Humanos
/
Masculino
Idioma:
Español
Revista:
Rev. chil. cardiol
Asunto de la revista:
Cardiología
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Instituto Chileno de Imagen Cardíaca INCIC/CL
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