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

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 wit...

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Published inJornal vascular brasileiro Vol. 21; p. e20210213
Main Authors Khalil, Majed, Danash, Batoul, Akiki, Dany, Khoury, Nabil
Format Journal Article
LanguageEnglish
Portuguese
Published Brazil Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 01.01.2022
Subjects
anomalous circumflex artery
CARDIAC & CARDIOVASCULAR SYSTEMS
Case Report
coronary angiography
COVID-19
PERIPHERAL VASCULAR DISEASE
right coronary artery
SURGERY
viral-induced myocarditis
COVID-19
right coronary artery
anomalous circumflex artery
case report
coronary angiography
viral-induced myocarditis
coronária direita
artéria circunflexa anômala
miocardite induzida por vírus
angiografia coronária
relato de caso
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Summary: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.
Bibliography:Conflicts of interest: No conflicts of interest declared concerning the publication of this article.
Author information MK and BD - Fellows, Department of Cardiology, Hôpital Libanais Geitaoui (HLG). DA - Intern, Faculty of Medical Sciences, Lebanese University. NK - Cardiologist, Department of Cardiology, Hôpital Libanais Geitaoui (HLG).
Author contributions Conception and design: MK, BD, DA Analysis and interpretation: MK, DA, NK Data collection: MK, BD Writing the article: MK, DA Critical revision of the article: MK, DA, NK Final approval of the article*: MK, BD, DA, NK Statistical analysis: N/A. Overall responsibility: NK *All authors have read and approved of the final version of the article submitted to J Vasc Bras.
ISSN:1677-5449
1677-7301
1677-7301
DOI:10.1590/1677-5449.202102132