Author/Authors :
Attar، Armin نويسنده , , Rezaee، Maedeh نويسنده Resident, Department of Cardiovascular Medicine, School of Medicine, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, Iran , , Kheirkhah، Jalal نويسنده Cardiovascular Research Center, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran Kheirkhah, Jalal
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.
