Acute Perimyocarditis Unmasking Anomalous Coronary Artery: Is Treating the Inflammation Enough? Does Surgery Fix All?

Mariyam Sheidu; Xiaoxiao Qian; Hooman Bakhshi; Raghav Gattani; Araba Ofosu-Somuah; Abbas Reza Emaminia

doi:10.1016/j.jaccas.2022.03.008

Acute Perimyocarditis Unmasking Anomalous Coronary Artery: Is Treating the Inflammation Enough? Does Surgery Fix All?

JACC Case Rep. 2022 May 4;4(9):507-511. doi: 10.1016/j.jaccas.2022.03.008.

Authors

Mariyam Sheidu¹, Xiaoxiao Qian², Hooman Bakhshi², Raghav Gattani², Araba Ofosu-Somuah², Abbas Reza Emaminia²

Affiliations

¹ Department of Internal Medicine, Inova Heart and Vascular Institute, Falls Church, Virginia, USA.
² Department of Cardiology, Inova Heart and Vascular Institute, Falls Church, Virginia, USA.

Abstract

We report the case of a patient with anomalous right coronary artery (RCA) unmasked by acute perimyocarditis who continued to have ischemic symptoms despite total resolution of perimyocarditis and required surgical intervention of the anomalous RCA. This case was further complicated by ventricular arrhythmia after surgical repair. Collaboration among different cardiac specialists was essential in this case. (Level of Difficulty: Advanced.).

Keywords: ACA, anomalous coronary arteries; CAD, coronary artery disease; ECG, electrocardiogram; ICD, implantable cardioverter defibrillator; RCA, right coronary artery; SCD, sudden cardiac death; VT, ventricular tachycardia; anomalous coronary arteries; chest pain; perimyocarditis; ventricular tachycardia.

Publication types

Case Reports