Single coronary artery originating from the right sinus Valsalva and ability to work

We present a case of a 56-year-old male electrician who was admitted to the hospital with atrial fibrillation, atypical chest pain and dyspnea. He gave a history that on the morning he had working for almost 4 hours carrying out various activities with considerable physical effort. After cardioversi...

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Bibliographic Details
Published in:Annals of occupational and environmental medicine 2015, 27(1), , pp.1-4
Main Authors: De Rosa, Roberto, Ratti, Gennaro, Gerardi, Donato, Tedeschi, Carlo, Lamberti, Monica
Format: Article
Language:English
Subjects:
Angiography
Atrial fibrillation
Care and treatment
Case Report
Case studies
Diagnosis
예방의학
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Summary:We present a case of a 56-year-old male electrician who was admitted to the hospital with atrial fibrillation, atypical chest pain and dyspnea. He gave a history that on the morning he had working for almost 4 hours carrying out various activities with considerable physical effort. After cardioversion, conventional coronary angiography revealed a suspect of single coronary vessel (SCA) arising from the right sinus of Valsalva. The patient underwent multislice computed tomography that showed a SCA arising from the right sinus Valsalva and dividing in Right Coronary Artery (RCA) and Left Main coronary artery (LM). The finding of posterior course of the LM without atherosclerotic has proved crucial for the expression of an opinion of working capacity even with limitation.
ISSN:2052-4374
2052-4374
DOI:10.1186/s40557-015-0055-2