Absent Left Main with Anomalous Origin of All Three Coronary Arteries From Left Aortic Sinus: A Previously Undescribed Combination of Coronary Anomalies

2012 ◽  
Vol 21 (12) ◽  
pp. 824-827 ◽  
Author(s):  
Prashanth Panduranga ◽  
Mohammed Al-Mukhaini
Keyword(s):  
Coronary Arteries ◽  
Anomalous Origin ◽  
Coronary Anomalies ◽  
Left Main ◽  
Aortic Sinus

scholarly journals Anomalous Origin of Coronary Artery from the Contralateral Aortic Sinus - Case Report

2018 ◽  
Vol 12 (2) ◽  
pp. 98-101
Author(s):  
Kajal Kumar Karmoker ◽  
Khandaker Aisha Siddika ◽  
Arif Hossain ◽  
Mohammad Adib Al Javed ◽  
Bijoy Datta
Keyword(s):  
Coronary Artery ◽  
Sudden Death ◽  
Coronary Arteries ◽  
Anomalous Origin ◽  
Complex Congenital Heart Disease ◽  
Coronary Artery Anomalies ◽  
Aortic Sinus ◽  
Diagnostic Work ◽  
Work Up ◽  
Congenital Coronary Artery Anomalies

Congenital coronary artery anomalies are rare heart defect that has been associated with myocardial ischemia and sudden death. Only 1-2% of population having variation in the origin, course or distribution of the epicardial coronary arteries. Anomalous origin of coronary arteries may be present as isolated defect or as a part of complex congenital heart disease. The clinical presentation, diagnostic work up, prognosis and treatment of these anomalies are highly variable. Most of the patients are asymptomatic but manifestation of these patients are chest pain, dyspnoea, palpitation, dizziness, ventricular fibrillation, syncope and sudden death. It is the second most common cause of sudden death in young athletes. Selective coronary angiography is the gold standard for identification of such type of anomaly. Patients of anomalous origin of coronary artery from the opposite sinus may require medical treatment, coronary angioplasty with stenting or surgical repair.University Heart Journal Vol. 12, No. 2, July 2016; 98-101

scholarly journals A Rare Coincidence of Two Coronary Anomalies in an Adult

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Cesar Cruz ◽  
Dalton Mclean ◽  
Matthew Janik ◽  
Paolo Raggi ◽  
A. Maziar Zafari
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Chest Pain ◽  
Coronary Angiography ◽  
Coronary Arteries ◽  
Coronary Anomalies ◽  
Left Main ◽  
Atypical Chest Pain ◽  
Selective Coronary Angiography ◽  
Type Iv

Anomalous right-sided left main coronary arteries and dual type IV left anterior descending arteries are rare coronary anomalies. In this case report, we present a 59 year old man with atypical chest pain and a combination of the above coronary anomalies as identified by selective coronary angiography and computed tomography angiography. To the best of our knowledge, the coincidence of these coronary anomalies has not been previously described.

scholarly journals Anomalous origin of right coronary artery from left coronary sinus associated with aneurysm of aortic root

2018 ◽  
Vol 2 (Issue 4) ◽  
pp. 123 ◽  
Author(s):  
Rustem Tuleutayev ◽  
Daurenbek Urazbekov ◽  
Kuat Abzaliyev ◽  
Kyanysh Ongarbayev
Keyword(s):  
Coronary Artery ◽  
Coronary Arteries ◽  
Right Coronary Artery ◽  
Coronary Sinus ◽  
Aortic Root ◽  
Left Main Coronary Artery ◽  
Anomalous Origin ◽  
Sinus Of Valsalva ◽  
Left Main ◽  
Common Area

Prevalence of anomalous origin of right coronary artery (RCA) from left coronary sinus in population according to autopsy studies is 0.026%. Origin of left main coronary artery and RCA from opposite sinus of Valsalva with further course of anomalous vessels between aorta and pulmonary artery often is linked to sudden death.  We present a case of anomalous origin of RCA from left coronary sinus and aneurysm of aortic root. Our case demonstrates that when both coronary arteries` ostia are close to each other coronary arteries can be re-implanted on common area.  Firstly, this prevents distention and deformation of coronary arteries that might cause myocardial infarction. Secondly, it reduces time of placing anastomosis thus decreasing period of myocardial ischemia and cardiopulmonary bypass time.

Anomalous Origin of 4 Coronary Ostia From the Right Sinus of Valsalva in a Patient With Hypertrophic Cardiomyopathy

2001 ◽  
Vol 125 (11) ◽  
pp. 1489-1490
Author(s):  
Lynn Beach ◽  
Allen Burke ◽  
Dennis Chute ◽  
Renu Virmani
Keyword(s):  
Hypertrophic Cardiomyopathy ◽  
Coronary Arteries ◽  
Coronary Sinus ◽  
Anomalous Origin ◽  
Sinus Of Valsalva ◽  
Coronary Anomalies ◽  
Coronary Ostia ◽  
The Right ◽  
Congenital Coronary Anomalies

Abstract Anomalous origin of 4 separate coronary ostia from a single coronary sinus has rarely been reported. We report what is to our knowledge a previously undescribed variation characterized by the left anterior descending, left ramus, left circumflex, and right coronary arteries originating from separate ostia in the right sinus of Valsalva. In addition, the autopsy disclosed features of hypertrophic cardiomyopathy, rarely associated with congenital coronary anomalies.

Anomalous Origin of the Left Main Coronary Artery from the Right Aortic Sinus of Valsalva with Vasospastic Angina

CHEST Journal ◽  
1991 ◽  
Vol 100 (4) ◽  
pp. 1167-1168 ◽  
Author(s):  
Yasushi Kubota ◽  
Tadashi Monji ◽  
Hiroaki Nakagawa ◽  
Hirohisa Uwatoko ◽  
Kazuto Kitamura
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Anomalous Origin ◽  
Vasospastic Angina ◽  
Sinus Of Valsalva ◽  
Left Main ◽  
Aortic Sinus ◽  
The Right

Origin of left main and right coronary arteries from right aortic sinus of Valsalva

2003 ◽  
Vol 92 (2-3) ◽  
pp. 305-306 ◽  
Author(s):  
Ramesh M. Gowda ◽  
Sanjayant R. Chamakura ◽  
Ozgen M. Dogan ◽  
Terrence J. Sacchi ◽  
Ijaz A. Khan
Keyword(s):  
Coronary Arteries ◽  
Sinus Of Valsalva ◽  
Left Main ◽  
Aortic Sinus

scholarly journals Aberrant left main coronary artery induced asymptomatic heart failure

2016 ◽  
Vol 3 (4) ◽  
pp. 69
Author(s):  
Bankim Patel ◽  
Aravindan Jeyarajasingam ◽  
Kunal Patel ◽  
Rupen Patel ◽  
Daniel Benatar
Keyword(s):  
Differential Diagnosis ◽  
Chest Pain ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Coronary Arteries ◽  
Left Main Coronary Artery ◽  
Shortness Of Breath ◽  
Coronary Anomalies ◽  
Left Main ◽  
The Right

We report a case of a malignant course of left main coronary artery in a patient presenting with sudden onset chest pain and shortness of breath. The patient is a 44-year-old African American male with a past medical history of hypertension, diabetes mellitus type 2 as well as dyslipidemia presented to the emergency department with non-exertional chest pain radiating to the left arm and shortness of breath. A coronary angiography and CT angiography (CTA) of heart was performed and it demonstrated an aberrant malignant course of the left main coronary artery coming from the right coronary ostium and coursing between the aorta and pulmonary artery. The left ventricular dysfunction was thought to be a consequence of this malignant course. Cardiothoracic surgery was consulted which determined the need for CABG. The incidence of coronary anomalies and patterns in a series of 1,950 angiograms was determined to be 5.64% with the left main coronary artery (LMCA) arising from the right sinus in 0.15% of the angiograms Diagnostic approach for malignant coronary arteries involves coronary angiography and cardiac CT. A widely accepted treatment approach for left main coronary arteries originating from the right sinus is through surgical repair. Our case urges the clinician to expand the differential diagnosis in young to middle age patient presenting with chest pain. In addition, our case reinforces the concept of the detrimental impact of malignant left coronary arteries on cardiac function. This should prompt the physician to consider coronary anomalies as a possible differential diagnosis as part of the evaluation and management of these patients.

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