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Case Reports
. 2017:2017:5832692.
doi: 10.1155/2017/5832692. Epub 2017 Dec 31.

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

Ata Bajwa  1 , Bhanu Gupta  2 , Lina Ya'qoub  1 , Steven B Laster  1 , Randall Thompson  1
Affiliations
Case Reports

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

Ata Bajwa et al. Case Rep Cardiol. 2017.

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.

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Figures

Figure 1
Figure 1
Yellow arrow head pointing at the abnormal linear flow along the interventricular septum, suggestive of dilated left anterior descending artery.
Figure 2
Figure 2
Coronary computed tomography angiogram (volume rendered image) demonstrates the anomalous origin of the right coronary artery (RCA) from the pulmonary trunk (white arrow).
Figure 3
Figure 3
Coronary computed tomography angiogram (volume rendered image) demonstrates another view of the anomalous origin of the right coronary artery (RCA) from the pulmonary trunk (white arrow).
Figure 4
Figure 4
Coronary computed tomography angiogram (volume-rendered image) obtained after her surgery points at the surgically implanted right coronary artery (RCA) in the anterior ascending aorta. There is a filling defect corresponding to a partially occlusive thrombus.
Figure 5
Figure 5
Cross-sectional view of the coronary CTA, after surgery, shows the filling defect in the implanted RCA consistent with partially occlusive thrombus.
Figure 6
Figure 6
Parasagittal view of the coronary CTA performed after the patient's surgery again demonstrates the partially occlusive thrombus in the implanted RCA as pointed by the arrow.
See this image and copyright information in PMC

References

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