title: Association of aortic coarctation and malignant right coronary artery anomaly: an unusual cause of angina pectoris.
abstract: A 53-year-old man with exercise-induced ischemia was referred for investigation. Coronary angiography revealed a right coronary artery originating from the trunk of the left coronary artery, and an aortic coarctation was observed on aortography. A CT angiogram confirmed these findings. Resection of the aortic coarctation and reimplantation of the ostial portion of right coronary artery into its native site was performed, and resulted in a satisfactory outcome. The association of an anomalous right coronary artery with aortic coarctation has rarely been described and represents a critical situation where early diagnosis and prompt intervention are essential.
authors.affiliation: Real e Benemérita Associação Portuguesa de Beneficência, São Paulo, Brazil.
authors.forename: Rubens Sirtoli
authors.initials: RS
authors.lastname: Filho
authors.forename: Leonardo Cao Cãmbra
authors.initials: LC
authors.lastname: de Almeida
authors.forename: Maysa Godoy Gomes Mazurek
authors.initials: MG
authors.lastname: Sirtoli
authors.forename: Liliana Pena
authors.initials: LP
authors.lastname: Pilatti
authors.forename: Marcelo Valladão
authors.initials: MV
authors.lastname: de Carvalho
authors.forename: Marcelo
authors.initials: M
authors.lastname: Schafranski
keywords: angina pectoris; coronary anomalies; myocardial ischemia; single ostium