Absence of the right coronary artery with distal angulation of the left circumflex coronary artery

Kuş, Özgür; Acar, Berrin; Selçuk, Hakan; Selçuk, Mehmet Timur

doi:10.1007/s00059-013-4007-8

Cited by 3 publications

(3 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, acute angulation of the vessel may lead to similar cilinical pictures of myocardial bridging. 10 In the present case, the CX was well-developed; thus, symptomatology was linked to a LAD lesion. After successful intervention, the patient did not report recurrent angina.…”

Section: Discussionsupporting

confidence: 46%

Clinical Implications of Congenital Absence of Circumflex Coronary Artery

Karabulut

2017

Hosp Pract Res

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 46%

Clinical Implications of Congenital Absence of Circumflex Coronary Artery

Karabulut

2017

Hosp Pract Res

View full text Add to dashboard Cite

“…[19,20] In a PubMed search for cases of CARCA published from January 2011 to December 2020, a total of 38 cases were found in 34 articles (Table 1). [7,[21][22][23][24][25][26][27][28][29] Among these cases, a total of 22 patients were male, 13 were diagnosed with MI, and 15 underwent PCI or CABG. Furthermore, 29 cases showed L-I type CARCA.…”

Section: Discussionmentioning

confidence: 99%

Posterior myocardial infarction caused by superdominant circumflex occlusion over an absent right coronary artery

Kim

et al. 2021

Medicine

View full text Add to dashboard Cite

Rationale: Congenital agenesis of the right coronary artery (CARCA) initially presenting as acute myocardial infarction (AMI) due to total occlusion is a rare clinical condition that can lead to severe complications, including death. We report a case of successful percutaneous coronary intervention (PCI) in a patient with this condition. Patient concerns: A 57-year-old man was admitted to our center with chest pain that had occurred several hours prior. Since he was initially diagnosed with AMI with ST-segment elevation, we promptly commenced coronary angiography (CAG). Diagnosis: CAG revealed the absence of a right coronary artery (RCA). In the left coronary cusp area, the left circumflex coronary artery (LCX) was occluded totally. Interventions: We performed PCI for total occlusion of the proximal part of the LCX. Follow-up CAG showed a superdominant branch of the LCX, sprouting into the RCA territory. Outcomes: The patient was discharged uneventfully after successful PCI. Lessons: CARCA with AMI, which is an extremely unusual case, can be fatal; however, PCI seems to be an effective treatment option.

show abstract

“…[ 6 , 9 ] Its prevalence in patients with single coronary artery is low, hence, only few cases has been reported until now. [ 9 – 11 ] Furthermore, patients with congenital absence of the RCA often present with non-specific clinical features and ECG manifestation who are often misdiagnosed as CAD or may remain undiagnosed. This might be one of the reasons for low prevalence of congenital absence of RCA.…”

Section: Discussionmentioning

confidence: 99%

Congenital absence of the right coronary artery

et al. 2018

View full text Add to dashboard Cite

Rationale:Congenital absence of the right coronary artery (RCA) is a rare congenital malformation of the cardiovascular system which may have fatal consequences.Patient concerns:A 63-year-old man with a 5-year history of chest pain after exertion which had aggravated for >1 month was advised for admission and computed tomography angiography (CTA) examination of the coronary artery to screen for coronary artery disease (CAD).Diagnoses:The coronary artery CTA showed absence of RCA arising form the aortic root after which a selective coronary angiography (SCA) examination was done that confirmed the diagnosis of congenital absence of RCA.Interventions:As the patient refused to receive a coronary artery stent implantation citing his financial condition, only symptomatic treatment was given.Outcomes:The patient requested to be discharged from the hospital against the advice of his doctors 1 week later. A query made by the telephone suggested that the patient's symptoms were under control by use of prescribed medications only.Lessons:Although being a rare condition, a coronary artery CTA examination can be utilized to screen for congenital absence of RCA and other varieties of cardiovascular malformation whereas SCA can be performed to confirm the diagnosis.

show abstract

Absence of the right coronary artery with distal angulation of the left circumflex coronary artery

Cited by 3 publications

References 7 publications

Clinical Implications of Congenital Absence of Circumflex Coronary Artery

Clinical Implications of Congenital Absence of Circumflex Coronary Artery

Posterior myocardial infarction caused by superdominant circumflex occlusion over an absent right coronary artery

Congenital absence of the right coronary artery

Contact Info

Product

Resources

About