Demet Menekşe GEREDE, Kerim ESENBOĞA, Başar CANDEMİR, Ferit KASIMZADE, Sadık ERYILMAZ, Serkan DURDU

An abnormal origin of the right coronary artery from the left main coronary artery and the management of this condition

Bu yazıda efora bağlı nefes darlığı ve çarpıntı ile klini- ğimize başvuran 63 yaşında diyabeti ve astımı olan bir kadın olgu sunuldu. Kalp muayenesinde sağ koroner arterde %60 darlık olduğu ve sol ana koroner arter- den anormal çıkış gösterdiği tespit edildi. Bilgisayarlı tomografi anjiyografide sağ koroner arterin anormal çıkışı ve çıkan aort ile ana pulmoner trunkus arasın- daki anormal seyri belirlendi. Koroner ateroskleroz yokluğunda dahi ani kardiyak ölüm riski olduğu için hastaya başarılı koroner arter baypas greft ameliyatı yapıldı

Sol ana koroner arterden kaynaklanan anormal çıkışlı sağ koroner arter ve tedavisi

In this article, we present a 63-year-old diabetic and asthmatic female patient who was admitted to our clinic with exertional dyspnea and palpitation. Cardiac examination revealed a 60% stenosis of a right coronary artery anomalously arising from the left main coronary artery. Computed tomography angiography demonstrated an abnormal origin and the abnormal course of the right coronary artery between ascending aorta and the main pulmonary trunk. The patient with a risk of sudden cardiac death even in the absence of coronary atherosclerosis underwent a successful coronary artery bypass graft surgery

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