Right coronary artery from right sinus of Valsalva and ventricular tachycardia

Julie A Brothers; Matthew A Harris

doi:10.1016/j.athoracsur.2013.10.099

Right coronary artery from right sinus of Valsalva and ventricular tachycardia

Ann Thorac Surg. 2014 Sep;98(3):1091-4. doi: 10.1016/j.athoracsur.2013.10.099.

Authors

Julie A Brothers¹, Matthew A Harris²

Affiliations

¹ Division of Cardiology, Department of Pediatrics, The Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: [email protected].
² Division of Cardiology, Department of Pediatrics, The Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.

PMID: 25193195
DOI: 10.1016/j.athoracsur.2013.10.099

Abstract

Congenital coronary anomalies in which the coronary artery arises from the contralateral aortic sinus of Valsalva are associated with fatal arrhythmias and sudden death. The mechanism causing sudden death has been debated. We describe a case of an adolescent patient with right coronary artery arising leftward, but from the right sinus of Valsalva, with an acute-angle takeoff from the aorta and an intramural course, who presents with exercise-induced ventricular tachycardia.

Publication types

Case Reports

MeSH terms

Abnormalities, Multiple*
Adolescent
Coronary Vessel Anomalies / complications*
Humans
Male
Sinus of Valsalva / abnormalities*
Tachycardia, Ventricular / etiology*