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Double coronary anomaly: A case report.

ABSTRACT: We describe an extremely rare case of a 37-year-old female patient who presented with exertional angina and was diagnosed with a unique coronary anomaly with an anomalous right coronary artery with origin in the left anterior descending artery and a fistula between this anomalous coronary artery and the pulmonary artery.

Learning objectives

Most patients with coronary anomalies are asymptomatic but some may have angina caused by a coronary steal phenomenon, myocardial infarction, or even sudden death depending on the circuit and characteristics of the anomaly.The combination of multiple coronary anomalies is extremely rare.Despite being a rare diagnosis, coronary anomalies should always be considered as a cause of myocardial ischemia, especially in young patients with low probability for coronary obstructive disease.

SUBMITTER: Barradas MI

PROVIDER: S-EPMC9449746 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

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Double coronary anomaly: A case report.

Barradas Maria Inês MI Duarte Fabiana F Dourado Raquel R Tavares Anabela A Martins Dinis D

Journal of cardiology cases 20220520 3

We describe an extremely rare case of a 37-year-old female patient who presented with exertional angina and was diagnosed with a unique coronary anomaly with an anomalous right coronary artery with origin in the left anterior descending artery and a fistula between this anomalous coronary artery and the pulmonary artery.<h4>Learning objectives</h4>Most patients with coronary anomalies are asymptomatic but some may have angina caused by a coronary steal phenomenon, myocardial infarction, or even ...[more]

PMID: 36091611

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