Myocardial ischemia caused by a coronary anomaly left anterior descending coronary artery arising from right sinus of Valsalva

Dogan, Sait Mesut; Gürsürer, Metin; Aydın, Mustafa; Göçer, Hakan; Cabuk, Mehmet; Dursun, Aydin

doi:10.1016/j.ijcard.2006.03.063

Cited by 22 publications

(20 citation statements)

References 14 publications

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“…Other anatomic variants including retroaortic course of the anomalous LCA, right ventricle free wall course and septal course, along the floor of the right ventricle, are considered benign. 5) In our case, Left Coronary angiogram (left anterior oblique caudal view) showed normal LMCA, LCX and a well-developed stenotic diagonal artery which appeared like LCA. The treatment with surgical intervention is indicated in symptomatic patients.…”

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confidence: 49%

“…The treatment with surgical intervention is indicated in symptomatic patients. 5) The ideal imaging tool for the diagnosis and delineation of coronary artery anomalies is coronary angiography. Other imaging modalities including computed tomography, magnetic resonance imaging and transesophageal echocardiography are considered to have a complementary role according to recent studies.…”

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confidence: 99%

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Anomalous Origin of the Left Coronary Artery from the Right Coronary Sinus

Çolak

Erdil

Disli

et al. 2012

ATCS

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Anomalous origin of the left coronary artery (LCA) from the right coronary artery sinus is a rare congenital coronary anomaly. We report a case of a 48-year-old symptomatic man who was admitted to our clinic with a history of hypertension, type 2 diabetes mellitus, myocardial infarction and hypercholesterolemia. Coronary angiography was performed revealing anomalous left coronary artery from the right coronary artery sinus. In addition, stenosis of RCA and well developed stenotic diagonal artery were detected with coronary angiography. We performed coronary by-pass with left internal mammarian artery to diagonal artery and vena saphena to right coronary artery (RCA). Both coronary angiography and intraoperative view should be evaluated well in patients with anomalous of the coronary artery.Keywords: coronary artery anomalies, coronary artery disease, coronary angiography, coronary by-pass Case ReportA 48-year-old man with a prior history of hypertension, type 2 diabetes mellitus, myocardial infarction, and hypercholesterolemia was admitted to our clinic because of stable angina pectoris. His symptoms had begun 3 months before admission. On admission, he was hypertensive (150/85 mmHg) with a regular pulse of 75 bpm. Cardiac auscultation was unremarkable, and the chest was clear. The ECG showed sinus rhythm at 75 bpm with significant ST-segment changes. Left Coronary angiogram (left anterior oblique caudal view) showed well developed diagonal artery which appeared like LCA. Right Coronary angiography (left anterior oblique view) was performed revealing anomalous left coronary artery (= the branch of RCA) from the right coronary artery sinus. In addition, 80%-90% stenosis in the mid RCA and 80% stenosis in the proximal diagonal artery were detected with coronary angiography (Figs. 1 and 2). We viewed well developed diagonal artery, which appeared like LCA and during the operation it was recognized that this artery was not LCA. So we performed coronary by-pass with left internal mammary artery to diagonal artery (Fig. 3) and vena saphena to RCA. On postoperative follow-up, our

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confidence: 49%

Section: )mentioning

confidence: 99%

Anomalous Origin of the Left Coronary Artery from the Right Coronary Sinus

Çolak

Erdil

Disli

et al. 2012

ATCS

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“…The anomalous origin of LCA from the right sinus of Valsalva is not always associated with symptoms of angina pectoris. Other anatomical variants including a retro-aortic course of the anomalous LCA, a right ventricle-free wall course and a septal course, along the floor of the right ventricle, are considered benign [6]. In our case, a right coronary artery was discovered that was seen to have arisen from the left coronary sinus.…”

Section: Discussionmentioning

confidence: 63%

Right Coronary Artery Originating From the Left Coronary Sinus: A Rare Coronary Artery Anomaly

Conkbayır

2014

Russ J Cardiol

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Anomalous origin of the right coronary artery (RCA) from the left coronary sinus is a rare congenital anomaly. Here, we report a case of a 54-year-old symptomatic woman who was admitted with a history of unstable angina pectoris, hypertension, coronary arteriosclerosis, diabetes mellitus, hypercholesterolemia and previous coronary bypass operation (CABG). Coronary angiography was performed and a right coronary artery was discovered, which was seen to arise from the left coronary sinus. Аномальное отхождение правой коронарной артерии (RCA) из левого коро-нарного синуса -редкая врожденная аномалия. Здесь, мы сообщаем о слу-чае 54-летней женщины, которая была госпитализирована с нестабильной стенокардией, гипертонией, коронарным атеросклерозом, сахарным диабе-том, гиперхолестеринемией и предыдущими операциями аортокоронарного шунтирования (АКШ) в анамнезе. При коронарной ангиографии правой коро-нарной артерии был обнаружено, что она восходит из левого коронарного синуса. RussРоссийский кардиологический журнал 2014, 1 (105), Англ.: 56-57Ключевые слова: правая коронарнаяй аномалия, врожденный.

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“…Angelini et al [5] demonstrated that an interarterial course is associated with intramural course which is defined as the proximal segment of the coronary artery runs within the aortic wall using intravascular ultrasound. Slit-like lumen [6], ostial occlusion due to aortic expansion during exercise [7], additional anomalies such as myocardial bridging may contribute to myocardial ischemia. Conventional angiography still plays an important role in the definition of cardiac anomalies.…”

Section: Discussionmentioning

confidence: 99%

Anomalous origin of the left anterior descending coronary artery from the right coronary artery with an interarterial and intramyocardial course: a long-term follow-up

Dursun¹,

Doğan²,

Özkan³

2016

Eur Res J

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The left anterior descending coronary artery (LAD) originating from the proximal part of the right coronary artery (RCA) is a rare anomaly. An interarterial course for this anomaly is accepted as a 'malign course' and surgical treatment is recommended. In a 66-year-old male patient, coronary angiography showed that the LAD originated from the proximal part of the RCA. Coronary computed tomographic angiography revealed that the LAD had an interarterial and intramyocardial course. The patient refused surgical treatment and has been followed-up without symptoms for the last 4 years with medical treatment. We wanted to contribute to the literature by reporting the long-term results of the medical treatment option for this anomaly with a malign course.Eur Res J 2016;2(3):244-247

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Myocardial ischemia caused by a coronary anomaly left anterior descending coronary artery arising from right sinus of Valsalva

Cited by 22 publications

References 14 publications

Anomalous Origin of the Left Coronary Artery from the Right Coronary Sinus

Anomalous Origin of the Left Coronary Artery from the Right Coronary Sinus

Right Coronary Artery Originating From the Left Coronary Sinus: A Rare Coronary Artery Anomaly

Anomalous origin of the left anterior descending coronary artery from the right coronary artery with an interarterial and intramyocardial course: a long-term follow-up

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