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Acute Coronary Syndrome Revealing Coronary Birth Abnormality In A Patient With An Arrhythmogenic Dysplasia of the Right Ventricle: Case Report

DOI : https://doi.org/10.36349/EASJMS.2020.v02i02.007
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Abnormal coronary artery birth is a congenital abnormality that remains rare. In some cases, congenital coronary abnormalities may be associated with the development of chest pain, syncope or sudden cardiac death. Our patient is 65 years old with a chronic smoking cardiovascular risk factor and as a history a right ventricular arrhythmogenic dysplasia discovered for 7 years. Our patient was admitted for acute Coronary Syndrome NSTEMI , a coronary angiogram was performed showing coronary arteries without significant stenosis. However, the right coronary artery had an abnormal birth in the left sinus more precisely in the left main. We are reporting the case of a patient who presented for acute coronary syndrome as revealed by typical anginal chest pain, highlighting that he is being followed for arrhythmogenic dysplasia of the right ventricle, with an abnormal birth of the right coronary artery at of the left main. Several studies have been conducted to establish the relationship between the patient’s symptoms, his history and this angiographic finding

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Dr. Afroza Begum

Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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