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Medicine and Health Sciences

West Virginia University

2019

Coronary artery anomaly

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A Rare Case Of Adult Congenital Heart Disease: Single Ventricular Chamber With Anomalous Right Coronary Artery In An Octogenarian, Muhammad Shabbir Rawala, Anna Saleem Ahmed, Syed Bilal Rizvi Jan 2019

A Rare Case Of Adult Congenital Heart Disease: Single Ventricular Chamber With Anomalous Right Coronary Artery In An Octogenarian, Muhammad Shabbir Rawala, Anna Saleem Ahmed, Syed Bilal Rizvi

Faculty & Staff Scholarship

ABSTRACT Patients with single-ventricle physiology encompass a wide array of anatomic subtypes, including but not limited to: tricuspid atresia, hypoplastic left heart syndrome, doubleoutlet or double-inlet ventricles. The outcomes for patients with single ventricle born before 1990 are relatively poor. An 81-year-old female presented to the hospital as non-ST elevation myocardial infarction. She was started on antiplatelet and anticoagulation. Echocardiogram revealed a single ventricle which was thought to be left ventricle with possible transposition of great vessels. Angiography was performed that identified the single ventricle and anomalous origin of the right coronary artery (RCA). She was also found to have …