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Song SH, Suh SE, Jin SM, et al. Myocardial ischemia caused by paroxysmal supraventricular tachycardia in a patient with anomalous origin of right coronary artery arising from left sinus of valsalva. Korean Circ J. 2013;43(2):123-6doi: 10.4070/kcj.2013.43.2.123.
Song, S. H., Suh, S. E., Jin, S. M., Moon, J. H., Cho, Y. K., & Lim, S. W. (2013). Myocardial ischemia caused by paroxysmal supraventricular tachycardia in a patient with anomalous origin of right coronary artery arising from left sinus of valsalva. Korean circulation journal, 43(2), 123-6. https://doi.org/10.4070/kcj.2013.43.2.123
Song, Sang Hee, et al. "Myocardial ischemia caused by paroxysmal supraventricular tachycardia in a patient with anomalous origin of right coronary artery arising from left sinus of valsalva." Korean circulation journal vol. 43,2 (2013): 123-6. doi: https://doi.org/10.4070/kcj.2013.43.2.123
Song SH, Suh SE, Jin SM, Moon JH, Cho YK, Lim SW. Myocardial ischemia caused by paroxysmal supraventricular tachycardia in a patient with anomalous origin of right coronary artery arising from left sinus of valsalva. Korean Circ J. 2013 Feb;43(2):123-6. doi: 10.4070/kcj.2013.43.2.123. Epub 2013 Feb 28. PMID: 23508331; PMCID: PMC3596660.
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Korean Circ J. 2013 Feb;43(2):123-6. doi: 10.4070/kcj.2013.43.2.123. Epub 2013 Feb 28.

Myocardial ischemia caused by paroxysmal supraventricular tachycardia in a patient with anomalous origin of right coronary artery arising from left sinus of valsalva.

Korean circulation journal

Sang Hee Song, Seong Eun Suh, Sun Mi Jin, Jie Hye Moon, Yun Kyung Cho, Sang Wook Lim

Affiliations

  1. Department of Internal Medicine, College of Medicine, CHA University, CHA Bundang Medical Center, Seongnam, Korea.

PMID: 23508331 PMCID: PMC3596660 DOI: 10.4070/kcj.2013.43.2.123

Abstract

Anomalous origin of a coronary artery is rare and does not generally lead to myocardial infarction and paroxysmal supraventricular tachycardia (PSVT). We report an uncommon case of anomalous origin of the right coronary artery (RCA) originating from the left sinus of Valsalva with PSVT and myocardial ischemia. A 58-year-old man presented with PSVT. After arrhythmia subsided, electrocardiogram showed ST and T wave abnormalities, and transient cardiac enzymes were found to be elevated. Coronary CT angiography confirmed that there was anomalous origin of the RCA originating from the left sinus of Valsalva and no intracoronary stenotic lesion. He was managed with conservative treatment, having no symptoms on clinical follow-up for 4 years.

Keywords: Coronary vessel anomalies; Multidetector computed tomography; Myocardial ischemia; Tachycardia, paroxysmal

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