01 September 2021: Articles
A Coronary Artery Anomaly Presenting as Acute Coronary Syndrome: A Case Report
Challenging differential diagnosis, Congenital defects / diseases
Mariana S. de A. Chaud A , Camila A. Agostinho A , Felipe L. Malafaia A , Márcio C. Sampaio B , Paulo Chaccur A , Pedro Gabriel Melo de Barros e Silva C , Expedito E. Ribeiro A , José Carlos Teixeira Garcia C , Valter Furlan C , Henrique B. Ribeiro A*DOI: 10.12659/AJCR.931561
Am J Case Rep 2021; 22:e931561
Table 1. Classification scheme of coronary artery anomalies*.
| I. Hemodynamically significant anomalies |
| A. Atresia of a coronary artery |
| B. Origin of a coronary from the pulmonary artery |
| C. Interarterial course (between the aorta and pulmonary artery) |
| D. Congenital fistula |
| II. Nonhemodynamically significant anomalies |
| A. Duplication of a coronary artery |
| B. High coronary artery origin (more than 1 cm above the sinotubular junction) |
| C. Prepulmonic course (anterior to the pulmonary artery) |
| D. Transseptal course (or intramyocardial artery, passing through the septal myocardium) |
| E. Retroaortic course (posterior to the aortic root) |
| F. Shepherd’s crook RCA (tortuous and high course of RCA) |
| G. Systemic arterial termination of a coronary artery |
| RCA – right coronary artery. * Adapted from Shriki JE et al. []. |