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Ann Thorac Surg 2002;73:1636-1638
© 2002 The Society of Thoracic Surgeons

Case report

Atypical presentation of an anomalous origin of the right coronary artery with severe compression between the great vessels

Sylvie K. Giroux, MDa, Raymond Cartier, MD*b

a Department of Medicine, McGill University, Research Center, and Department of Surgery, Montreal Heart Institute, Quebec, Canada
b Department of Surgery, University of Montreal, Montreal, Quebec, Canada

Accepted for publication September 21, 2001.

* Address reprint requests to Dr Cartier, Department of Surgery, Montreal Heart Institute, 5000 Belanger St East, Montreal, Quebec H1T 1C8, Canada
e-mail: rc2910{at}aol.com

Anomalous aortic origin of the right coronary artery is a rare coronary anomaly which, in a minority of cases, can cause clinical manifestations such as ischemic chest pain or arrhythmic syncope. We describe a case of anomalous aortic origin of the right coronary artery characterized by signs of left heart failure associated with ventricular tachycardia.






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