Is there a link between coronary artery variation and myocardial ischemia?
A 56-year-old male was admitted to our hospital for evaluation of angina pectoris. He had a history of non Q myocardial infarction and a family history of sudden cardiac death. The resting electrocardiogram demonstrated incomplete right bundle branch block and T wave inversion in the inferior leads. Transthoracic echocardiography revealed no wall motion abnormalities with a normal ejection fraction. Stress echocardiogram showed reversible filling defect in inferior wall. The aortogram, during coronary angiography, revealed an anomalous high origin of the right coronary artery, just below the sino-tubular junction.ABSTRACT FROM AUTHORCopyright of Internet Journal of Cardiology is the property of Internet Scientific Publications LLC and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder’s express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warra