Anomalous right coronary artery arising from left coronary cusp with coexisting valvular heart disease.
We report an unusual case, a 50 year old female with an abnormal right coronary artery originating from the left coronary cusp. The patient, who had a history of hypertension presented with chest pain and shortness of breath to the emergency department. She was diagnosed with ischaemic heart disease (IHD) and had hypertension as one of the coronary risk factor. Echocardiography revealed poor progression of R waves. She was scheduled for echocardiography thereafter which revealed severe aortic stenosis with aortic root dilatation. The patient was discharged due to absence of any complications or other anomalies. This case is unique because of the simultaneously presenting valvular pathology, along with the anomalous origin of the right coronary artery which was detected, as an incidental finding, during coronary angiography.
Dow University of Health Sciences, Karachi, Pakistan.
Akash
A
Khetpal
NJ Med PA, New Jersey, USA.
Neelam
N
Khetpal
Dow University of Health Sciences, Karachi, Pakistan.
Ansab
A
Godil
Dow University of Health Sciences, Karachi, Pakistan.
Muhammad Saad
MS
Ali Mallick
Department of Cardiology, Civil Hospital, DUHS, Karachi.
Muhammad Nawaz
MN
Lashari
D001024:Aortic Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging*; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000000981:diagnostic imaging*; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D033162:Incidental Findings; D008875:Middle Aged
Right coronary artery, Left coronary cusp, Aortic stenosis.