title: Successful percutaneous coronary intervention in an anomalous origin of the right coronary artery from the ascending aorta above the left sinus of the valsalva.
abstract: The anomalous origin of the right coronary artery (RCA) is a rare condition. Most RCA anomalies are usually found incidentally, but these findings have clinical significance because many patients, particularly young ones, present with sudden death, myocardial ischemia and syncope without other symptoms. We describe a case of a 39-year-old male patient that presented with effort chest pain and was diagnosed with anomalous RCA that originated from the ascending aorta with prior history of repairing ruptured sinus valsalva and ventricular septal defect. The anomalous origin of RCA was identified by multidetector computed tomography (MDCT). Successful percutaneous coronary intervention was performed guided by MDCT coronary images and intravascular ultrasound.
authors.affiliation: Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea.
authors.forename: Seon-Ah
authors.initials: SA
authors.lastname: Jin
authors.forename: Seok-Woo
authors.initials: SW
authors.lastname: Seong
authors.forename: Song Soo
authors.initials: SS
authors.lastname: Kim
authors.forename: Young Dal
authors.initials: YD
authors.lastname: Lee
authors.forename: Ung Lim
authors.initials: UL
authors.lastname: Choi
authors.forename: Si-Wan
authors.initials: SW
authors.lastname: Choi
authors.forename: Jin-Ok
authors.initials: JO
authors.lastname: Jeong