Key result
Surgical reimplantation of an anomalous RCA resolves a pseudo-Brugada ECG pattern.
Case Report (n=1)
Anomalous origin of the right coronary artery can present with ventricular fibrillation and a pseudo-Brugada ECG pattern that resolves after surgical reimplantation.
Supports evaluation for anomalous coronaries in unexplained pseudo-Brugada; hypothesis-generating and should not yet change practice.
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Sharma et al. (2010) conducted a case report in Cardiac arrest with pseudo-Brugada ECG pattern and anomalous right coronary artery (n=1). Surgical reimplantation was evaluated on Reappearance of Brugada ECG pattern upon pharmacological challenge test. Surgical reimplantation of an anomalous right coronary artery resolved a pseudo-Brugada ECG pattern, with no reappearance upon subsequent pharmacological challenge.
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