Extremely rare coronary anomaly as cause of palpitations: a case report of single right coronary artery-multimodality imaging and its impact on treatment decisions.

ABSTRACT:

Background

We report the case of a 63-year-old white Caucasian male patient admitted to the clinic because of atypical angina and palpitations. Other comorbidities included hypertension, hyperuricaemia, and hypercholesterolaemia. He was admitted to a tertiary cardiac centre for deepened diagnostics of his complaints.

Case summary

Echocardiography revealed no pathology, but due to high calcium score (Agatston > 400 units), signs of arrhythmia during exercise, and atypical angina complaints, further investigations were performed. Invasive coronary angiography revealed stenosis up to 53% in the middle part of the right coronary artery (RCA), and computed tomography angiography showed no left coronary artery, only malignant-coursed vessel, running from the proximal part of the R

SUBMITTER: Suchodolski A 

PROVIDER: S-EPMC11561567 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature