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Multimodal Imaging of an Incidental Anomalous Coronary Artery by Boyang Liu; Sasha Lalla; Sandeep S. Hothi; Elisa McAlindon is a Medicine article available to read on EtoBox.

What is Multimodal Imaging of an Incidental Anomalous Coronary Artery about?

Anomalous right coronary artery arising from the main pulmonary artery (ARCAPA) is commonly identified on an incidental basis in asymptomatic individuals. This case report of an adult male patient admitted with troponin-positive chest pain highlights the incidental nature via which ARCAPA may present. Invasive coronary angiography suggested a potential anomalous right coronary origin, before computed tomography (CT) coronary angiography confirmed ARCAPA while also identifying extensive, acute bilateral pulmonary emboli, in itself sufficient to explain the presentation. Stress perfusion cardiac magnetic resonance imaging (MRI) accordingly excluded both myocardial infarction and inducible hypoperfusion. We discuss multimodal investigation in the management of incidental ARCAPA. A 50-year-old male ex-smoker presented with a 1-day history of central chest tightness and dyspnea. The patient did not report any fever, hemoptysis, or orthopnea. Obstructive sleep apnea was his only comorbidity. He took no medications. Clinical examination was unremarkable with normal jugular venous pressure, heart sounds, and clear lung fields. Clinical observations were as follows: blood pressure 135/82 mm

Who reads Multimodal Imaging of an Incidental Anomalous Coronary Artery?

Author

Boyang Liu; Sasha Lalla; Sandeep S. Hothi; Elisa McAlindon

Publisher

Elsevier BV

Published

2022

Language

EN

Field

Medicine (Health Sciences)