A Rare Case of a Coronary Artery Anomaly Detected on Multidetector Computed Tomography

Vito Bonomo; Mariaconcetta Di Piazza; Salvatore Evola; Ludovico La Grutta; Davide Piraino; Giuseppe Andolina; Massimo Midiri; Salvatore Novo

doi:10.2169/internalmedicine.52.9524

CASE REPORTS

A Rare Case of a Coronary Artery Anomaly Detected on Multidetector Computed Tomography

Vito Bonomo, Mariaconcetta Di Piazza, Salvatore Evola, Ludovico La Grutta, Davide Piraino, Giuseppe Andolina, Massimo Midiri, Salvatore Novo

Author information

Vito Bonomo
Center for the Early Diagnosis of Preclinical and Multifocal Atherosclerosis, "Paolo Giaccone" University Hospital, Section of CardioAngiology, Department of Internal Medicine and Cardiovascular Diseases, Palermo, Italy
Mariaconcetta Di Piazza
Center for the Early Diagnosis of Preclinical and Multifocal Atherosclerosis, "Paolo Giaccone" University Hospital, Section of CardioAngiology, Department of Internal Medicine and Cardiovascular Diseases, Palermo, Italy
Salvatore Evola
Center for the Early Diagnosis of Preclinical and Multifocal Atherosclerosis, "Paolo Giaccone" University Hospital, Section of CardioAngiology, Department of Internal Medicine and Cardiovascular Diseases, Palermo, Italy
Ludovico La Grutta
Department of Radiology, "Paolo Giaccone" University Hospital, Palermo, Italy
Davide Piraino
Center for the Early Diagnosis of Preclinical and Multifocal Atherosclerosis, "Paolo Giaccone" University Hospital, Section of CardioAngiology, Department of Internal Medicine and Cardiovascular Diseases, Palermo, Italy
Giuseppe Andolina
Center for the Early Diagnosis of Preclinical and Multifocal Atherosclerosis, "Paolo Giaccone" University Hospital, Section of CardioAngiology, Department of Internal Medicine and Cardiovascular Diseases, Palermo, Italy
Massimo Midiri
Department of Radiology, "Paolo Giaccone" University Hospital, Palermo, Italy
Salvatore Novo
Center for the Early Diagnosis of Preclinical and Multifocal Atherosclerosis, "Paolo Giaccone" University Hospital, Section of CardioAngiology, Department of Internal Medicine and Cardiovascular Diseases, Palermo, Italy

Keywords: coronary anomalies, coronary computed tomography, sudden death

JOURNAL OPEN ACCESS

2013 Volume 52 Issue 18 Pages 2067-2070

DOI https://doi.org/10.2169/internalmedicine.52.9524

Details

Abstract

An anomalous aortic origin of the coronary artery arising from the opposite sinus with an interarterial course is a rare condition that is associated with a high risk of sudden cardiac death during or after strenuous exertion. We herein report the case of a 47-year-old woman presenting with chest pain, syncope and palpitations who presented with a rare coronary artery anomaly on multidetector computed tomography coronary artery (MDCT-CA) with prospective electrocardiogram (ECG) gating.

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