COVID-19-induced myocarditis in patient with anomalous origin of the left circumflex artery from the right coronary artery: a case report

被引：0

作者：

Khalil, Majed ^{[1
]}

Danash, Batoul ^{[1
]}

Akiki, Dany ^{[2
]}

Khoury, Nabil ^{[1
]}

机构：

[1] Hop Libanais Geitaoui HLG, Dept Cardiol, Beirut, Lebanon

[2] Lebanese Univ, Fac Med Sci, Dept Cardiol, Beirut, Lebanon

来源：

JORNAL VASCULAR BRASILEIRO | 2022年 / 21卷

关键词：

COVID-19; right coronary artery; anomalous circumflex artery; coronary angiography; viral-induced myocarditis; case report;

D O I：

10.1590/1677-5449.202102132

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

The prevalence of coronary artery anomalies has been increasing due to the increasing usage of coronary angiography. There is a paucity of literature concerning management of viral-induced myocarditis in patients with anomalous coronary artery. We present a very unusual case of a 44-year-old man with anomalous origin of the left circumflex artery from the proximal ostium of the right coronary artery who was admitted for COVID-19-induced myocarditis. He presented with signs of heart failure and coronary angiography revealed the left circumflex artery with a separate ostium originating from the proximal right coronary artery. He was treated medically with Bisoprolol, Perindopril Arginine, Rivaroxaban, and Furosemide. His condition improved rapidly and he resumed regular life within 1 month. Coexistence of cardiac disease such as viral-induced myocarditis with an underlying anomalous origin of the coronary artery is challenging to spot and can lead to worse outcomes in case of misdiagnosis and inaccurate management.

引用

页数：4

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