A Rare Case of Angina Pectoris with the Longest Ectopic Left Main Coronary Artery Arising from Right Sinus of Valsalva and a Prepulmonic Course

Sinha, Santosh Kumar; Mishra, Vikas; Abdali, Nasar; Singh, Kamlesh Kumar; Jha, Mukesh Jitendra; Kumar, Ashutosh

doi:10.1155/2017/5483257

Cited by 5 publications

(2 citation statements)

References 8 publications

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“…Long left main trunk is quite rare as only few cases have been reported so far. The maximum reported length of LMCA from its usual site of origin (left aortic sinus) is 61 mm3 while it is 56 mm when anomalously arising from right aortic sinus as described by Sinha et al 4. Although short left main trunk is associated with increased risk of arteriosclerosis, similar association with longer one is not described 5.…”

Section: Discussionmentioning

confidence: 98%

Unduly long left main (79 mm) coronary artery arising from right coronary sinus in a 64-year-old diabetic man

Sinha

Aggarwal²,

Razi

et al. 2019

BMJ Case Rep

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Coronary artery anomalies are usually an incidental finding on coronary angiogram. Most of them are benign, although few of them are malignant which may cause sudden cardiac death. A 64-year-old diabetic, hypertensive man underwent coronary angiography for evaluation of exertional dyspnoea, and angina which revealed an anomalous left main coronary artery (LMCA) arising from right coronary sinus which was unduly long (79 mm) but free from any disease. To the best of our knowledge after extensive search in literature, this is the longest LMCA to be ever reported. The patient was managed conservatively.

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Section: Discussionmentioning

confidence: 98%

Unduly long left main (79 mm) coronary artery arising from right coronary sinus in a 64-year-old diabetic man

Sinha

Aggarwal²,

Razi

et al. 2019

BMJ Case Rep

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“…Bizim vakamızda izlenen orjin (sol koroner arterin sağ sinüs Valsalvadan köken alması) ve seyir (sol anterior desendan arterin prepulmonik seyiri) anomalisi bu sınıflamaya göre hemodinamik olarak anlamlı olmayan koroner arter anomalileri sınıfına girmektedir. Ancak literatürde sağ sinüs Valsalvadan köken alan tek koroner arterin ve sol anterior desendan arterin prepulmonik seyrinin Prinzmetal anjina, anstabil anjina ve kronik stabil anjinayla ilişkilendirildiği vaka bildirimleri bulunmaktadır (6,7). Araştırmacılar bu vaka bildirimlerinde prepulmonik seyirde anjina patofizyolojisinin ''gerilme'' ile ilişkilendirilebileceğini bildirmişlerdir (7).…”

Section: Discussionunclassified

Nadir Bir Koroner Arter Anomalisi: Sag Sinus Valsalva Cikimli Tek Koroner Arter

2019

GMJ

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Koroner arter anomalileri konjenital kalp hastalıklarının nadir formlarındandır. Koroner anjiyografi yapılan popülasyonda %1-2 oranında görülmekte olup pek çok alt grubu tanımlanmıştır. Alt gruplar çeşitli araştırmacılar tarafından farklı şekillerde sınıflandırılmıştır. Koroner BT anjiografi, koroner arter anomalilerini saptamada oldukça etkin bir yöntemdir. Bu olgu bildiriminde sağ sinüs Valsalvadan çıkan sol koroner arterde seyir anomalisi olan bir hastanın koroner BT anjiografi bulguları sunulmaktadır.

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<p>Anomalous coronary artery anatomy with a single coronary ostium arising from the right coronary: a case report and literature review</p>

Abdulshakour

Saeed²,

Taher³

2019

IMCRJ

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Purpose: This article reports the case of a single coronary artery with origin from a single ostium in the right sinus of Valsalva (RSOV) with an anomalous course of the left coronary artery anterior to the pulmonary trunk. Results: We present the case of an anomalous single coronary artery detected incidentally during routine coronary computed tomography (CT) angiography performed by a multislice CT method, using a 64-detector-row scanner. The CT examination revealed that the patient had a single large right coronary artery arising from the right sinus of Valsalva, dividing into the right coronary artery, left main coronary artery (LMCA), and left circumflex artery (LCX). The LMCA turned anteriorly in front of the pulmonary outflow tract, reaching the atrioventricular groove. The LCX artery passed posterior to the aorta (retro-aortic) and then between the left atrium and left ventricular outflow tract to reach its normal course on the left side. Conclusion: We present a rare case of single coronary artery congenital anomaly from the Makkah region of Saudi Arabia. This kind of coronary artery anomaly in the absence of stenosis could remain silent and asymptomatic.

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A Rare Case of Angina Pectoris with the Longest Ectopic Left Main Coronary Artery Arising from Right Sinus of Valsalva and a Prepulmonic Course

Cited by 5 publications

References 8 publications

Unduly long left main (79 mm) coronary artery arising from right coronary sinus in a 64-year-old diabetic man

Unduly long left main (79 mm) coronary artery arising from right coronary sinus in a 64-year-old diabetic man

Nadir Bir Koroner Arter Anomalisi: Sag Sinus Valsalva Cikimli Tek Koroner Arter

<p>Anomalous coronary artery anatomy with a single coronary ostium arising from the right coronary: a case report and literature review</p>

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