Author/Authors :
Bajwa, Ata Mid America Heart Institute - Saint Luke’s Hospital - University of Missouri-Kansas City School of Medicine, Kansas City, USA , Gupta, Bhanu University of Kansas Medical Center, Kansas City, USA , Ya’qoub, Lina Mid America Heart Institute - Saint Luke’s Hospital - University of Missouri-Kansas City School of Medicine, Kansas City, USA , Laster, Steven B. Mid America Heart Institute - Saint Luke’s Hospital - University of Missouri-Kansas City School of Medicine, Kansas City, USA , Thompson, Randall Mid America Heart Institute - Saint Luke’s Hospital - University of Missouri-Kansas City School of Medicine, Kansas City, USA
Abstract :
A 32-year-old African American female presented with dyspnea, and after several cardiac diagnostic tests, the diagnosis of an
anomalous origin of the RCA from the pulmonary trunk was established by multislice coronary CT angiography. She underwent
surgical correction with reimplantation of the RCA, from the pulmonary artery to the aortic root. However, 10 days after surgery,
she developed frequent episodes of chest pain, and repeat coronary CTA showed a partially occlusive thrombus in the surgically
reimplanted RCA. Anticoagulation with warfarin resulted in complete resolution of the patient’s symptoms.
