Case 3/2017 - High Origin of the Right Coronary Artery at the Sinotubular Junction, in a 14-Year-Old Teenager, in Diagnostic Imaging Diversity

DOI: 10.5935/abc.20170048 Clinical data He reports that, six months ago, after discreet exercise (having run about 500 meters) he felt tiredness and dizziness, malaise and skin paleness. Repeated migraines accompany the clinical status. Recent bi-Doppler echocardiography revealed the high origin of the right coronary artery at the sinotubular junction. There was no morbid past of importance. Physical examination: eupneic, acyanotic, normal pulses. Weight: 66 Kgs, Height: 169 cm, BP: 110/65 mm Hg, HR: 57 bpm, O2 saturation = 96%. The aorta was not palpated at the suprasternal notch. In the precordium, without systolic impulses, the ictus cordis was not palpated. Cardiac sounds were normal and heart murmur was not heard. The liver was not palpated.