Subject(s)
Cardiac Catheterization , Device Removal , Hemodynamics , Humans , Treatment Outcome , Cardiac Catheterization/instrumentation , Heart Valve Prosthesis , Male , Recovery of Function , Prosthesis Design , Mitral Valve Insufficiency/physiopathology , Mitral Valve Insufficiency/surgery , Mitral Valve Insufficiency/diagnostic imaging , Female , Echocardiography, TransesophagealABSTRACT
â¢Degenerative common AVC defect can mimic rheumatic MV stenosis.â¢Closure of primum ASD can be achieved percutaneously.â¢Live 3D multiplanar TEE is crucial for procedural guidance.
ABSTRACT
Anomalous aortic origin of a coronary artery (AAOCA) is a rare congenital abnormality associated with myocardial ischemia and sudden cardiac death. We present a case of a 20 year old previously healthy male presenting with exertional syncope and non-ST elevation myocardial infarction. Coronary computed tomography angiography showed an anomalous left main coronary artery arising from the right coronary cusp with a slit-like appearance, acute angle origin, intramural course, and a subsequent inter-arterial course between the main pulmonary artery and the proximal aorta. Cardiac magnetic resonance imaging demonstrated myocardial infarction in the distribution of the left main coronary artery. The patient underwent successful surgical correction with unroofing of the left main coronary artery. He has had no syncopal episodes or recurrence of chest pain and returned to full duty status in the United States Marine Corps. This case report demonstrates the evaluation and management of a patient with AAOCA.
