Anomalous Coronary Arteries: A Cause for Malignant Arrhythmias
Anomalous aortic origin of a coronary artery (AAOCA) is a congenital condition that can lead to sudden cardiac death (SCD), particularly among young individuals. The cause of SCD is thought to be ischemia, primarily related to the course of the anomalous coronary artery. Surgical intervention, such...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2023-05, Vol.15 (5), p.e39658 |
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| creator | AlQubbany, Atif Alqurashi, Yazeed Zagzoog, Amin Almehmadi, Fahad Al-Husayni, Faisal Ahmad, Akram Albugami, Saad |
| description | Anomalous aortic origin of a coronary artery (AAOCA) is a congenital condition that can lead to sudden cardiac death (SCD), particularly among young individuals. The cause of SCD is thought to be ischemia, primarily related to the course of the anomalous coronary artery. Surgical intervention, such as unroofing or coronary revascularization, is the preferred management modality for patients with evidence of ischemia or concomitant fixed obstruction. Herein, we presented a case of a 24-year-old male admitted to the emergency department with a history of palpitations, dyspnea, diaphoresis, and syncope. The patient had no prior medical diseases and was eventually diagnosed with an anomalous right coronary artery (ARCA) originating from the left coronary sinus. The patient underwent surgical unroofing of the ARCA to prevent further episodes of ischemia and ventricular arrhythmias. The case highlights that coronary artery anomalies can be life-threatening and lead to SCD, especially in young individuals with no risk factors. Investigating coronary anomalies in medically free patients presenting with cardiac symptoms and arrhythmias is crucial. |
| doi_str_mv | 10.7759/cureus.39658 |
| format | Article |
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The cause of SCD is thought to be ischemia, primarily related to the course of the anomalous coronary artery. Surgical intervention, such as unroofing or coronary revascularization, is the preferred management modality for patients with evidence of ischemia or concomitant fixed obstruction. Herein, we presented a case of a 24-year-old male admitted to the emergency department with a history of palpitations, dyspnea, diaphoresis, and syncope. The patient had no prior medical diseases and was eventually diagnosed with an anomalous right coronary artery (ARCA) originating from the left coronary sinus. The patient underwent surgical unroofing of the ARCA to prevent further episodes of ischemia and ventricular arrhythmias. The case highlights that coronary artery anomalies can be life-threatening and lead to SCD, especially in young individuals with no risk factors. Investigating coronary anomalies in medically free patients presenting with cardiac symptoms and arrhythmias is crucial.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.39658</identifier><identifier>PMID: 37388603</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Angina pectoris ; Cardiac arrhythmia ; Cardiac/Thoracic/Vascular Surgery ; Cardiology ; Cardioversion ; Case reports ; Congenital diseases ; Coronary vessels ; Hospitals ; Ischemia ; Medical imaging ; Military reserves ; Patients ; Pulmonary arteries ; Risk factors ; Veins & arteries</subject><ispartof>Curēus (Palo Alto, CA), 2023-05, Vol.15 (5), p.e39658</ispartof><rights>Copyright © 2023, AlQubbany et al.</rights><rights>Copyright © 2023, AlQubbany et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2023, AlQubbany et al. 2023 AlQubbany et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c267t-1c2107ecc2bb0815cea2a9dedd135dfdd00e4026b5dbccd69ab623912129004a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10306351/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10306351/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37388603$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>AlQubbany, Atif</creatorcontrib><creatorcontrib>Alqurashi, Yazeed</creatorcontrib><creatorcontrib>Zagzoog, Amin</creatorcontrib><creatorcontrib>Almehmadi, Fahad</creatorcontrib><creatorcontrib>Al-Husayni, Faisal</creatorcontrib><creatorcontrib>Ahmad, Akram</creatorcontrib><creatorcontrib>Albugami, Saad</creatorcontrib><title>Anomalous Coronary Arteries: A Cause for Malignant Arrhythmias</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>Anomalous aortic origin of a coronary artery (AAOCA) is a congenital condition that can lead to sudden cardiac death (SCD), particularly among young individuals. 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Investigating coronary anomalies in medically free patients presenting with cardiac symptoms and arrhythmias is crucial.</description><subject>Angina pectoris</subject><subject>Cardiac arrhythmia</subject><subject>Cardiac/Thoracic/Vascular Surgery</subject><subject>Cardiology</subject><subject>Cardioversion</subject><subject>Case reports</subject><subject>Congenital diseases</subject><subject>Coronary vessels</subject><subject>Hospitals</subject><subject>Ischemia</subject><subject>Medical imaging</subject><subject>Military reserves</subject><subject>Patients</subject><subject>Pulmonary arteries</subject><subject>Risk factors</subject><subject>Veins & arteries</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpVkM9LwzAcxYMobszdPEvBq53fJG2SelBK8RdMvOg5pEm6dXTNTFph_73VTZmn7xfeh_ceD6FzDDPO0-xa9972YUYzloojNCaYiVhgkRwf_CM0DWEFABg4AQ6naEQ5FYIBHaPbvHVr1bg-RIXzrlV-G-W-s7624SbKo0L1wUaV89GLaupFq9pu0P1y2y3XtQpn6KRSTbDT_Z2g94f7t-Ipnr8-Phf5PNaE8S7GmgzhVmtSliBwqq0iKjPWGExTUxkDYBMgrExNqbVhmSoZoRkmmGQAiaITdLfz3fTl2hpt286rRm58vR4aS6dq-V9p66VcuE-JgQKjKR4cLvcO3n30NnRy5XrfDqUlERRzklCeDNTVjtLeheBt9ReBQX4vLneLy5_FB_zisNYf_Lsv_QJe7X3t</recordid><startdate>20230529</startdate><enddate>20230529</enddate><creator>AlQubbany, Atif</creator><creator>Alqurashi, Yazeed</creator><creator>Zagzoog, Amin</creator><creator>Almehmadi, Fahad</creator><creator>Al-Husayni, Faisal</creator><creator>Ahmad, Akram</creator><creator>Albugami, Saad</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20230529</creationdate><title>Anomalous Coronary Arteries: A Cause for Malignant Arrhythmias</title><author>AlQubbany, Atif ; Alqurashi, Yazeed ; Zagzoog, Amin ; Almehmadi, Fahad ; Al-Husayni, Faisal ; Ahmad, Akram ; Albugami, Saad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c267t-1c2107ecc2bb0815cea2a9dedd135dfdd00e4026b5dbccd69ab623912129004a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Angina pectoris</topic><topic>Cardiac arrhythmia</topic><topic>Cardiac/Thoracic/Vascular Surgery</topic><topic>Cardiology</topic><topic>Cardioversion</topic><topic>Case reports</topic><topic>Congenital diseases</topic><topic>Coronary vessels</topic><topic>Hospitals</topic><topic>Ischemia</topic><topic>Medical imaging</topic><topic>Military reserves</topic><topic>Patients</topic><topic>Pulmonary arteries</topic><topic>Risk factors</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>AlQubbany, Atif</creatorcontrib><creatorcontrib>Alqurashi, Yazeed</creatorcontrib><creatorcontrib>Zagzoog, Amin</creatorcontrib><creatorcontrib>Almehmadi, Fahad</creatorcontrib><creatorcontrib>Al-Husayni, Faisal</creatorcontrib><creatorcontrib>Ahmad, Akram</creatorcontrib><creatorcontrib>Albugami, Saad</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>AlQubbany, Atif</au><au>Alqurashi, Yazeed</au><au>Zagzoog, Amin</au><au>Almehmadi, Fahad</au><au>Al-Husayni, Faisal</au><au>Ahmad, Akram</au><au>Albugami, Saad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anomalous Coronary Arteries: A Cause for Malignant Arrhythmias</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><addtitle>Cureus</addtitle><date>2023-05-29</date><risdate>2023</risdate><volume>15</volume><issue>5</issue><spage>e39658</spage><pages>e39658-</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>Anomalous aortic origin of a coronary artery (AAOCA) is a congenital condition that can lead to sudden cardiac death (SCD), particularly among young individuals. 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| subjects | Angina pectoris Cardiac arrhythmia Cardiac/Thoracic/Vascular Surgery Cardiology Cardioversion Case reports Congenital diseases Coronary vessels Hospitals Ischemia Medical imaging Military reserves Patients Pulmonary arteries Risk factors Veins & arteries |
| title | Anomalous Coronary Arteries: A Cause for Malignant Arrhythmias |
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