Volume 24, Issue 104, July - August, 2020

High posterior take-off origin right coronary artery in coronary angiography; A case report

Hossein Sheibani^1,2♦, Amirhessam Kheirieh², Elham Azmoodeh²

¹Vice-chancellery of Treatment, Shahroud University of Medical Sciences, Shahroud, Iran
²Student Research Committee, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran

^♦Corresponding author
Hossein Sheibani; Email: h1a1sheyban@gmail.com

ABSTRACT

A 75-year-old woman previously healthy female nonsmoker was admitted with a chief complain of burning chest pain (unstable angina) and dyspnea on exercise Because of unstable angina, Coronary angiography was done immediately and revealed RCA arose about 3.7 centimeters above sinotubular junction and originated from the posterior surface of the ascending aorta. She was undertreated by prophylactic treatment. PCI was not performed because the patient was not satisfied and discharged with shortness of breath and chest pain. “High take-off'' alludes to an unusual high origin coronary artery from junctional zone; between its sinus and the tubular part. The main subject is decreased coronary perfusion and Angiography-based imaging for scrutinized evaluation of anomalous vessels is important. Cardiologists and treatment staff should be updated, because it can have significant impact on the patient’s prognosis and clinical outcome of patient. Prophylactic drug therapy may prevent the potential complications of this anomaly in the future.

Keywords: Anomalous origins, high take-off origin, right coronary artery, ascending aorta, angiography

Medical Science, 2020, 24(104), 2084-2088

PDF