Anomalous origin of left coronary artery arising from the right coronary cusp presenting with chest discomfort and syncope on physical exercise

Abstract

= Abstract = Anomalous origins of coronary arteries are a rare type of disease among children. These anomalies can be categorized into 3 types according to the anatomical relationship of the aorta and pulmonary trunks. Among these types, the interarterial type, as observed in our case, needs early diagnosis and treatment, because it can increase the risk for the patient, causing sudden cardiac death in young individuals. Although there are controversies concerning the management of anomalous origins of the left coronary artery (LCA) in children, the result can be very beneficial, if treated accurately. Three well-known methods for correction of anomalous origins of LCA are re-implantation, coronary arterial bypass grafting (CABG), and unroofing. We report on the case of a 12-year-old girl who had chest discomfort and syncope with physical exercise and was later diagnosed with an anomalous origin of LCA by transthoracic echocardiography (TTE) and heart computed tomography (CT). She underwent a corrective operation by re-implantation, CABG, and unroofing. (Korean J Pediatr 2010;53:248-252)

Anomalous Origin of the Left Coronary Artery From the Right Coronary Cusp: A Case Report

“…In a case report by Gac et al, they opted for medical therapy amid interventional and surgical treatment considering the nature of the pathophysiology and comorbidities of their patient despite considering CABG as a potential option [ 8 ]. Percutaneous coronary intervention (PCI) and surgical intervention as effective treatment options are well illustrated by Lee and Park [ 9 ], Khalighi et al [ 2 ], Narayanan et al [ 3 ], and Baik et al [ 10 ].…”

Sudden Cardiac Death Associated with Anomalous Origin of the Left Main Coronary Artery from the Right Sinus, with an Intramural Course

“…3,6 In reviewing the medical literature, we found rare cases of anomalous origin of the LMCA from the right coronary cusp. [3][4][5][6][7][8] Most reports concern the anomalous origin of the right coronary artery. To the best of our knowledge, no reported case is similar to ours in regard to clinical presentation and the presence of an unusually long intramural course of the LMCA between the aortic root and the PA trunk.…”