Three separate coronary artery ostia arising from the right coronary cusp: A case report

2001 ◽  
Vol 52 (4) ◽  
pp. 496-499 ◽  
Author(s):  
Joseph E. Lauer ◽  
Michael E. Ritchie
2014 ◽  
Vol 32 (2) ◽  
pp. 390-392
Author(s):  
Yanbo Zhu ◽  
Xiuhong Zhang ◽  
Xin Guan ◽  
Lianqun Wang

1995 ◽  
Vol 35 (4) ◽  
pp. 328-330 ◽  
Author(s):  
Tak Kwan ◽  
Ashraf Elsakr ◽  
Alan Feit ◽  
C. V. R. Reddy ◽  
Richard A. Stein

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Srinivas Nadadur ◽  
Justice Oranefo ◽  
Muhammad Adeel ◽  
Mansour Khaddr ◽  
Wassim Mosleh

Introduction: Anomalous aortic origin of coronary arteries (AAOCA) is uncommon congenital anomalies of the coronary circulation. Anomalous left main coronary artery (LMCA) originating from the right cusp is one of the rarer anomalies (incidence ~ 0.03% of patients undergoing coronary angiography). Mostly asymptomatic, however, this may become clinically significant with symptoms ranging from atypical chest discomfort to sudden cardiac death. We present a case of anomalous origin LMCA from the right coronary cusp. Case presentation: A 47-year-old female presented to the ED with three days of substernal chest pressure at rest. BP 106/71 mmHg, pulse 72 bpm, normal regular heart sounds, and clear lungs. The ECG showed new anterolateral T-wave inversions. Troponin-I was 0.31 ng/ mL. Echocardiogram showed normal LVEF without focal wall motion abnormalities. Coronary angiography revealed a dominant patent RCA without any disease. LMCA originated from the right coronary cusp with focal 90% ostial LAD stenosis. The rest of the coronary tree was free of disease. CABG with LIMA to LAD and SVG to OM1 was performed. Discussion: AAOCA presents a unique challenge to diagnosis and management. CT coronary angiogram or magnetic resonance angiography is recommended for more accurate delineation of the course of the coronary vessel. The diagnostic challenge to effectively engage the anomalous artery and to obtain coronary angiogram to delineate anatomy is critical in further management. As seen in our case, this is easy to overlook and in the acute event could lead to unnecessary delay.


2013 ◽  
Vol 24 (3) ◽  
pp. 397-402 ◽  
Author(s):  
Justin Georgekutty ◽  
Russell R. Cross ◽  
Joanna B. Rosenthal ◽  
Deneen M. Heath ◽  
Pranava Sinha ◽  
...  

AbstractIn the United States, hypertrophic cardiomyopathy and coronary artery anomalies account for the leading two causes of sudden death in athletes. We present a case of a patient with an anomalous origin of the left main from the right coronary sinus with associated gene-confirmed hypertrophic cardiomyopathy. The patient underwent surgical repair with unroofing of the intramural portion of the left main coronary artery with a good result. We also review the reported cases in the medical literature describing this uncommon association between anomalous coronary artery origin and hypertrophic cardiomyopathy.


2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Zeid Nesheiwat ◽  
Joseph Eid ◽  
Ronak Soni ◽  
Paul Harnish ◽  
Ebrahim Sabbagh ◽  
...  

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Varun Kumar ◽  
Shalini Gupta ◽  
Krishna Prasad

We report a rare case of a 39-year-old male who presented with acute inferior wall myocardial infarction (IWMI). Coronary angiography revealed an anomalous single coronary artery arising from the right coronary cusp. Premature atherosclerotic coronary artery disease (CAD) with critical stenosis in the mid right coronary artery (RCA), proximal posterior left ventricular (PLV) artery, and distal left circumflex (LCX) artery was detected during angiography. The patient managed successfully by percutaneous coronary interventions (PCI) with drug-eluting stents (DESs) by radial approach.


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