Anomalía coronaria sospechada por el signo “RAC” en Resonancia Magnética Cardíaca
Abstract A 63 year-old-male was admitted with a non-ST-segment elevation acute coronary syndrome. Due to poor acoustic windows ventricular function could not be evaluated by echocardiography. Magnetic resonance (CMR) revealed normal biventricular size and function without fibro- sis and portraying a...
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Sociedad Chilena de Cardiología y Cirugía Cardiovascular
2021
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oai:scielo:S0718-856020210001000652021-06-02Anomalía coronaria sospechada por el signo “RAC” en Resonancia Magnética CardíacaVega,JuliánLópez-Opitz,JavierMartínez,HugoLorenzatti,DanielUrmeneta,JavierLowenstein,Diego Coronary Vessel Anomalies Coronary Angiography Magnetic Resonance Angiography Abstract A 63 year-old-male was admitted with a non-ST-segment elevation acute coronary syndrome. Due to poor acoustic windows ventricular function could not be evaluated by echocardiography. Magnetic resonance (CMR) revealed normal biventricular size and function without fibro- sis and portraying a rare finding consisting of a tubular structure originated in the aortic root following a retro aortic course between the aorta and left atrium, traversing through the atrioventricular groove. These characteristics raised the suspicion of an anomalous coronary artery origin. Coronary angiography confirmed the presence of two coronary arteries, the right coronary artery (RCA) and the left circumflex artery (LCx) originating from the right coronary sinus via two separate ostia. The LCx followed a retro aortic course proximally be- fore irrigating the left ventricular lateral wall. From the left coronary sinus, the left anterior descending artery followed its normal course with a thin diagonal vessel that presented an acute plaque. Due to these low-risk findings, medical management was chosen.info:eu-repo/semantics/openAccessSociedad Chilena de Cardiología y Cirugía CardiovascularRevista chilena de cardiología v.40 n.1 20212021-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-85602021000100065es10.4067/S0718-85602021000100065 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Coronary Vessel Anomalies Coronary Angiography Magnetic Resonance Angiography |
| spellingShingle |
Coronary Vessel Anomalies Coronary Angiography Magnetic Resonance Angiography Vega,Julián López-Opitz,Javier Martínez,Hugo Lorenzatti,Daniel Urmeneta,Javier Lowenstein,Diego Anomalía coronaria sospechada por el signo “RAC” en Resonancia Magnética Cardíaca |
| description |
Abstract A 63 year-old-male was admitted with a non-ST-segment elevation acute coronary syndrome. Due to poor acoustic windows ventricular function could not be evaluated by echocardiography. Magnetic resonance (CMR) revealed normal biventricular size and function without fibro- sis and portraying a rare finding consisting of a tubular structure originated in the aortic root following a retro aortic course between the aorta and left atrium, traversing through the atrioventricular groove. These characteristics raised the suspicion of an anomalous coronary artery origin. Coronary angiography confirmed the presence of two coronary arteries, the right coronary artery (RCA) and the left circumflex artery (LCx) originating from the right coronary sinus via two separate ostia. The LCx followed a retro aortic course proximally be- fore irrigating the left ventricular lateral wall. From the left coronary sinus, the left anterior descending artery followed its normal course with a thin diagonal vessel that presented an acute plaque. Due to these low-risk findings, medical management was chosen. |
| author |
Vega,Julián López-Opitz,Javier Martínez,Hugo Lorenzatti,Daniel Urmeneta,Javier Lowenstein,Diego |
| author_facet |
Vega,Julián López-Opitz,Javier Martínez,Hugo Lorenzatti,Daniel Urmeneta,Javier Lowenstein,Diego |
| author_sort |
Vega,Julián |
| title |
Anomalía coronaria sospechada por el signo “RAC” en Resonancia Magnética Cardíaca |
| title_short |
Anomalía coronaria sospechada por el signo “RAC” en Resonancia Magnética Cardíaca |
| title_full |
Anomalía coronaria sospechada por el signo “RAC” en Resonancia Magnética Cardíaca |
| title_fullStr |
Anomalía coronaria sospechada por el signo “RAC” en Resonancia Magnética Cardíaca |
| title_full_unstemmed |
Anomalía coronaria sospechada por el signo “RAC” en Resonancia Magnética Cardíaca |
| title_sort |
anomalía coronaria sospechada por el signo “rac” en resonancia magnética cardíaca |
| publisher |
Sociedad Chilena de Cardiología y Cirugía Cardiovascular |
| publishDate |
2021 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-85602021000100065 |
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