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  • Title: Is Interarterial Course a Requisite for Ischemia in Anomalous Origin of Coronary Arteries?
    Author: Madan N, Lorber R, Nento D, Mumtaz M, Singh HR.
    Journal: World J Pediatr Congenit Heart Surg; 2017 Jul; 8(4):533-536. PubMed ID: 27257015.
    Abstract:
    Anomalous origin of the left main coronary artery from the noncoronary sinus (LCANS) is a rare variant of anomalous aortic origin of a coronary artery that is not characterized by an interarterial course. Despite the absence of an interarterial course, there are rare reports of LCANS presenting with sudden death, life-threatening arrhythmia, exercise-induced myocardial ischemia, premature ventricular contractions, and syncope. We report a patient with LCANS presenting with acute myocardial infarction who recovered completely with emergent surgical unroofing of the coronary artery.
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