Monomorphic ventricular tachycardia as the first manifestation in a patient with anomalous coronary artery

dc.contributorhttps://orcid.org/0000-0001-6913-4224
dc.creatorSousa, Júlio César Vieira de
dc.creatorMiranda, Raiana Maciel
dc.creatorMadruga, Gabriela Melchuna
dc.creatorFarias, Domitila Costa de
dc.creatorSilva, Paula de Medeiros Nacácio e
dc.creatorFigueiredo, Nastassja Morgana de Sousa
dc.date2023-08-01T17:47:54Z
dc.date2023-08-01T17:47:54Z
dc.date2018
dc.date.accessioned2023-09-04T13:49:45Z
dc.date.available2023-09-04T13:49:45Z
dc.identifierSOUSA, Júlio César Vieira de; MIRANDA, Raiana Maciel; MADRUGA, Gabriela Melchuna; FARIAS, Domitila Costa de; SILVA, Paula de Medeiros Nacácio e; FIGUEIREDO, Nastassja Morgana de Sousa. Monomorphic Ventricular Tachycardia as the First Manifestation in a Patient with Anomalous Coronary Artery. International Journal Of Cardiovascular Sciences, [S.L.], p. 1, 2018. Sociedade Brasileira de Cardiologia. http://dx.doi.org/10.5935/2359-4802.20180057. Disponível em: https://www.scielo.br/j/ijcs/a/6vZCLSWzDHFSbrWSpnzP5SR/?lang=en. Acesso em: 26 jul. 2023.
dc.identifierhttps://repositorio.ufrn.br/handle/123456789/54321
dc.identifierhttps://doi.org/10.5935/2359-4802.20180057
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8603223
dc.descriptionCoronary artery anomalies comprise a heterogeneous group of rare congenital heart defects, being classified according to their origin, course and distal bed, with an incidence ranging between 0.3% and 1.5% in the overall population. Dodge-Khatami et al.1 subdivided them into seven categories, according to their clinical complexity: coronary arteries originating from the pulmonary artery, coronary arteries with anomalous aortic origin, congenital atresia of the left main coronary artery, coronary arteriovenous fistulas, coronary arteries forming myocardial bridges, coronary artery aneurysms and coronary stenosis. The Texas Children's Hospital classification uses angiotomography with virtual angioscopy and divides the classification into three topics: origin of the anomalous coronary artery, coronary artery course and ostium morphology. From the viewpoint of anatomical risk, the anomalous left coronary artery with an interarterial course, presence of intramurality and a slit-like ostium are the main predictive factors of severity. A specific type is the anomalous origin of the left coronary artery from the right coronary sinus with an interarterial course, which is associated with hard outcomes in approximately 60% of the cases.2 Clinically, patients may present with nonspecific symptoms, ranging from palpitations, chest pain, post-exertion syncope or remain asymptomatic throughout life, with sudden death being the first and only manifestation of this condition. Most cases have been reported in young male individuals, but there is no scientific evidence yet whether the incidence is actually higher in males, or if this gender is more often diagnosed by performing more intense physical activities, therefore triggering symptoms. The most common of these conditions is the anomalous origin of the left coronary artery from the pulmonary artery. However, we present herein a case with an anomalous origin of the left coronary artery from the right coronary sinus, with a proximal course between the aortic and the pulmonary arteries in a 31-year-old man.
dc.formatapplication/pdf
dc.languageen
dc.publisherInternational Journal Of Cardiovascular Sciences
dc.rightsAttribution 3.0 Brazil
dc.rightshttp://creativecommons.org/licenses/by/3.0/br/
dc.rightsLOCKSS system has permission to collect, preserve, and serve this Archival Unit
dc.subjectarrhythmias
dc.subjectcardiac
dc.subjecttachycardia
dc.subjectventricular
dc.subjectcoronary vessel anomalies
dc.subjectdeath
dc.subjectsudden
dc.subjectcardiac
dc.titleMonomorphic ventricular tachycardia as the first manifestation in a patient with anomalous coronary artery
dc.typearticle


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