Images in cardiovascular medicine: Valve disease

Chest pain with minimal activities and flexion of trunk

a rare case of angina

Fabregat-Andrés, Óscar; Estornell-Erill, Jordi; Ridocci-Soriano, Francisco

Author Information

aCardiology Department

bCT and CMR Unit, Eresa, Consorcio Hospital General Universitario de Valencia, Valencia, Spain

Correspondence to Óscar Fabregat-Andrés, Cardiology Department, Consorcio Hospital General Universitario de Valencia, Avda Tres Cruces, 2, 46014. Valencia, SpainTel: +34 96197 2000; fax: 0034 96197 2161; e-mail: [email protected]

Received 13 August, 2012

Revised 30 December, 2012

Accepted 28 January, 2013

Journal of Cardiovascular Medicine 16():p S96-S97, January 2015. | DOI: 10.2459/JCM.0b013e32835fa82a

Abstract

A 53-year-old woman presented with effort-induced chest pain during daily activities and similar symptoms with trunk flexion. A treadmill exercise test revealed a Mobitz II atrioventricular block. Coronarography and computed tomography confirmed the diagnosis of anomalous origin of the right coronary artery from the left coronary sinus, so surgical revascularization was indicated. We discuss the peculiarity of the clinical presentation and its possible pathogenic mechanism.

© 2015 Italian Federation of Cardiology. All rights reserved.

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