Thrombosis in the Surgically Corrected Anomalous Right Coronary Artery after Reimplantation in Aorta

Author:

Bajwa Ata1ORCID,Gupta Bhanu2ORCID,Ya’qoub Lina1,Laster Steven B.1,Thompson Randall1

Affiliation:

1. Mid America Heart Institute, Saint Luke’s Hospital and University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA

2. University of Kansas Medical Center, Kansas City, KS, USA

Abstract

A 32-year-old African American female presented with dyspnea, and after several cardiac diagnostic tests, the diagnosis of an anomalous origin of the RCA from the pulmonary trunk was established by multislice coronary CT angiography. She underwent surgical correction with reimplantation of the RCA, from the pulmonary artery to the aortic root. However, 10 days after surgery, she developed frequent episodes of chest pain, and repeat coronary CTA showed a partially occlusive thrombus in the surgically reimplanted RCA. Anticoagulation with warfarin resulted in complete resolution of the patient’s symptoms.

Publisher

Hindawi Limited

Subject

Cardiology and Cardiovascular Medicine

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