Congenital Coronary Artery Anomalies and Sudden Cardiac Death

2021 ◽  
Author(s):  
Marco Schiavone ◽  
Cecilia Gobbi ◽  
Alessio Gasperetti ◽  
Andrea Zuffi ◽  
Giovanni Battista Forleo
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Cardiac Death ◽  
Coronary Artery Anomalies ◽  
Congenital Coronary Artery Anomalies

scholarly journals A Rare Coronary Artery Anomaly: Origin of All Three Coronary Arteries from the Right Sinus of Valsalva

2015 ◽  
Vol 5 ◽  
pp. 25 ◽  
Author(s):  
Lale Pasaoglu ◽  
Ugur Toprak ◽  
Emre Nalbant ◽  
Gokhan Yagiz
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Coronary Arteries ◽  
Cardiac Death ◽  
Sinus Of Valsalva ◽  
Coronary Artery Anomalies ◽  
Non Invasive ◽  
Life Threatening ◽  
The Right ◽  
Aberrant Vessels

Left anterior descending (LAD) artery and left circumflex (LCx) coronary artery originating separately from the right sinus of valsalva is exceptionally rare and very few cases have been reported in the literature. Congenital coronary artery anomalies are generally incidental, uncommon, and asymptomatic. Some can cause severe potentially life-threatening symptoms such as myocardial ischemia and sudden cardiac death. The aberrant vessels that pass between the aorta and the pulmonary trunk pose a risk of sudden cardiac death, particularly if the vessel supplies the left coronary artery network. The electrocardiographically gated multi-detector computed tomography (MDCT) allows accurate and non-invasive depiction of coronary artery anomalies including origin, course, and termination. We report here a rare case of all three coronary arteries separately originating from the right coronary sinus, which was detected with MDCT.

scholarly journals A Curve Maybe to Narrow: Description of an Anomalous Course of the Right Coronary Artery

Diseases ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 62
Author(s):  
Guido Pastorini ◽  
Elisa Bertone ◽  
Alberto Talenti ◽  
Mauro Feola
Keyword(s):  
Coronary Artery ◽  
Incidental Findings ◽  
Cardiac Death ◽  
Imaging Techniques ◽  
Ascending Aorta ◽  
Coronary Artery Anomalies ◽  
Advanced Imaging ◽  
The Right ◽  
Congenital Coronary Artery Anomalies ◽  
Rule Out

Congenital coronary artery anomalies are rare but well-described causes of chest pain and, in some cases, link to sudden cardiac death. With the spread of advanced imaging techniques, the number of incidental findings is staggering, but little information has been given in order to rule out potential malignant cases in symptomatic adult patients. Here, we describe a case of an anomalous course of the coronary artery with an acute (<45°) take-off angle, as well as an inter-arterial course between a dilated ascending aorta and a dilated pulmonary artery, and how we could manage this patient in our clinical practice.

Coronary artery anomalies and juvenile sudden cardiac death

2007 ◽  
Vol 169 ◽  
pp. S4
Author(s):  
A. Argo ◽  
E. Maresi ◽  
V. Triolo ◽  
S. Zerbo ◽  
G. Bono ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Cardiac Death ◽  
Coronary Artery Anomalies

scholarly journals Sudden cardiac death and coronary artery anomalies in the athletes: A narrative review

2021 ◽  
Author(s):  
Roberto Bianco ◽  
Giada Annarumma ◽  
Amos Cosimo Cocola ◽  
Felice Sirico ◽  
Veronica Romano
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Cardiac Death ◽  
Narrative Review ◽  
Coronary Artery Anomalies

scholarly journals Sudden cardiac death in young athletes

2011 ◽  
Vol 139 (5-6) ◽  
pp. 394-401 ◽  
Author(s):  
Sanja Mazic ◽  
Vladimir Ilic ◽  
Marina Djelic ◽  
Aleksandra Arandjelovic
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Cause Of Death ◽  
Cardiac Death ◽  
Strongly Correlated ◽  
Young Athletes ◽  
Older Athletes ◽  
Artery Disease ◽  
Cardiovascular Evaluation ◽  
Congenital Coronary Artery Anomalies

Cardiovascular diseases are the cause of death in up to 90% of athletes. The most frequent cause of death in young athletes is a sudden cardiac death (SCD). Causes of SCD among athletes are strongly correlated with age. In young athletes (<35 years), the leading causes are congenital cardiac diseases, particularly hypertrophic cardiomyopathy and congenital coronary artery anomalies. By contrast, most of deaths in older athletes (<35 years) are due to coronary artery disease. Although there is no possibility to decrease the risk of SCD to ?zero?, especially in sport competitions, clear recommendations, if available, for cardiovascular evaluation before athletic participation and side effects of sports activities, would minimize the frequency of SCD. If a specific condition of the cardiovascular system is diagnosed, it is necessary to establish the risk of SCD associated with a continual involvement in physical activities and competitive sports, and to define clearly disqualification criteria for each individual athlete.

scholarly journals Congenital Coronary Artery Anomalies: Three Cases and Brief Review of the Literature

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Nikolaos S. Ioakeimidis ◽  
Dimitrios Valasiadis ◽  
Andreas Markou ◽  
Theodora Zaglavara
Keyword(s):  
Coronary Artery ◽  
Coronary Sinus ◽  
Cardiac Death ◽  
Prognostic Significance ◽  
Review Of The Literature ◽  
Coronary Artery Anomalies ◽  
Coronary Anatomy ◽  
Competitive Athletes ◽  
The Right ◽  
Congenital Coronary Artery Anomalies

Coronary artery anomalies (CAAs) are congenital vascular defects which can remain hidden and asymptomatic over the complete life course of an individual. They are defined as deviations from the normal coronary anatomy regarding the arterial origin, course, or both. Their incidence varies from 1.3% to 5.64% in coronary angiography cohorts, and they can be detected as incidental findings. In certain cases, CAAs can be hemodynamically significant and unfortunately can be proven lethal. Their link with sudden cardiac death, especially in otherwise healthy competitive athletes, is well established, but their prognostic significance, range of symptoms, and pathophysiology remain to be further elucidated. Here, along with a brief review of related literature, we present a series of three cases: one case of an anomalous origin of the right coronary artery (RCA) from the left coronary sinus, one case of a split RCA originating from the left coronary sinus, and one case of a dual left anterior descending (LAD) artery system.

scholarly journals Sudden cardiac death

2004 ◽  
Vol 132 (5-6) ◽  
pp. 194-197 ◽  
Author(s):  
Aleksandra Arandjelovic ◽  
Sinisa Pavlovic ◽  
Sanja Mazic ◽  
Branimir Aleksandric
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Sports Medicine ◽  
Cardiac Death ◽  
Young Athlete ◽  
Heart Association ◽  
Coronary Artery Anomalies ◽  
Public Attention ◽  
Tragic Event ◽  
Artery Disease

Sudden cardiac death in an athlete is rare and tragic event. An athlete's death draws high public attention given that athletes are considered the healthiest category of society. The vast majority of sudden cardiac death in young athletes is due to congenital cardiac malformations such as hypertrophie cardiomyopathy and various coronary artery anomalies. In athletes over age 35, the usual cause of sudden cardiac death is coronary artery disease. With each tragic death of a young athlete, there is a question why this tragedy has not been prevented. The American College of Sports Medicine and the American Heart Association recommend that a pre-participation exam should include a complete cardiovascular history and physical examination.

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