ARYA Atherosclerosis Journal

Left ventricular dysfunction: Neither a matter of atherosclerosis nor an anomalous originated right coronary artery from left anterior descending artery

Document Type : Case Report

Authors

Armin Attar 1
Maedeh Rezaee 2
Jalal Kheirkhah 3

1 Resident, Student Research Committee, Department of Cardiovascular Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

2 Resident, Department of Cardiovascular Medicine, School of Medicine, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, Iran

3 Associate Professor, Department of Cardiovascular Medicine, School of Medicine, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, Iran

Abstract
BACKGROUND: Abnormal separation of right coronary artery (RCA) from the left coronary system is an extremely rare variation among coronary artery anomalies. The compressions on the anomalous route of this artery may lead to arrhythmia, chest pain, or left ventricular dysfunction or may enhance formation of atherosclerotic plaques. CASE REPORT: Here, we have reported a patient presented with heart failure who had an anomalous atherosclerotic RCA originating from left anterior descending artery. Interestingly, neither the anomalous origin nor the atherosclerosis was the cause of the patient’s problems and she suffered from a hypertensive cardiomyopathy. CONCLUSION: This reminds that encountering an anomaly should not solely be interpreted as the cause of cardiac disease. 

Keywords

Coronary Angiography
Left Ventricular Dysfunction
Coronary Vessel Anomaly
ARYA Atherosclerosis Journal
Volume 11, Issue 4 - Serial Number 4
July and August 2015
Pages 252-255

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