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1 Division of Cardiology, University of Colorado Medical Center and Denver General Hospital, Denver
2 Assistant Professor of Medicine, University of Colorado Medical Center; Director, Cardiac Catheterization Laboratory, Denver General Hospital
A case of anomalous origin of the right coronary artery from the pulmonary artery in a 64-year-old woman is described. She is the oldest patient in whom the diagnosis of this rare anomaly has been made during life. Angiography established the diagnosis and demonstrated retrograde blood flow in the very dilated and tortuous right coronary artery. Congestive heart failure and atrial fibrillation were present but angina was absent; however, in contrast to other instances of this anomaly, no other associated congenital or acquired heart disease was present that might have caused heart failure or atrial fibrillation.
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P. W. Radke, B. J. Messmer, P. K. Haager, and H. G. Klues Anomalous origin of the right coronary artery: preoperative and postoperative hemodynamics Ann. Thorac. Surg., October 1, 1998; 66(4): 1444 - 1449. [Abstract] [Full Text] [PDF] |
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