Ann Occup Environ Med.
2015 ;27(1):4. 10.1186/s40557-015-0055-2.
Single coronary artery originating from the right sinus Valsalva and ability to work
- Affiliations
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- 1Department of Radiology, PSI ASL Napoli 1, (Via Ciccarelli 1), Naples, (80100) Italy. robertoderosa@libero.it
- 2Department of Cardiology, San Giovanni Hospital, ASL Napoli 1, (Via Filippo Maria Briganti 255), Naples, (80100) Italy.
- 3Department of Experimental Medicine, Section of Hygiene, Occupational Medicine and Forensic Medicine, Second University of Naples, (Via dei Crecchio 16), Naples, (80100) Italy.
- 4Department of Cardiology, San Gennaro Hospital, ASL Napoli 1, (Via San Gennaro dei Poveri, 25), Naples, (80100) Italy.
- KMID: 2370850
- DOI: http://doi.org/10.1186/s40557-015-0055-2
Abstract
- 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.
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