ASSA13-05-3 Anomalous Left Main Coronary Artery Arising From The Right Sinus Of Valsalva

Heart ◽  
2013 ◽  
Vol 99 (Suppl 1) ◽  
pp. A32.2-A32
Author(s):  
Erdal Gursul ◽  
Hamza Duygu ◽  
Rida Berilgen ◽  
Özgen Safak ◽  
Erkan Yılmaz
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Sinus Of Valsalva ◽  
Left Main ◽  
The Right

Primary stenting of the left main coronary artery with anomalous origin from the right sinus of valsalva

2007 ◽  
Vol 114 (1) ◽  
pp. 137-138 ◽  
Author(s):  
Holger M. Nef ◽  
Helge Möllmann ◽  
Susanne Möllmann ◽  
Thorsten Dill ◽  
Christian W. Hamm ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Anomalous Origin ◽  
Sinus Of Valsalva ◽  
Left Main ◽  
Primary Stenting ◽  
The Right

scholarly journals Anomalous Origin of the Left Main Coronary Artery from the Right Coronary Artery with a Preaortic Course

2015 ◽  
Vol 42 (3) ◽  
pp. 243-245 ◽  
Author(s):  
Omer Yildiz ◽  
Kanber Ocal Karabay ◽  
Canan Akman ◽  
Vedat Aytekin
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Anomalous Origin ◽  
Sinus Of Valsalva ◽  
Canadian Cardiovascular Society ◽  
Left Main ◽  
St Segment ◽  
Canadian Cardiovascular Society Class ◽  
The Right ◽  
Coronary Angiograms

We report the case of a 51-year-old woman who presented with stable angina pectoris and Canadian Cardiovascular Society class II functional capacity. An electrocardiogram during a treadmill exercise test showed substantial ST-segment depression in the inferolateral leads. Coronary angiograms revealed an anomalous origin of the left main coronary artery from the opposite sinus of Valsalva and an interarterial course between the ascending aorta and pulmonary artery. Although this phenomenon is dangerous, the patient refused further examination. We discuss the diagnosis and treatment of patients who have an anomalous origin of a coronary artery from the opposite sinus of Valsalva.

scholarly journals P269 When sudden cardiac death is the first symptom

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
J Abdala Lizarraga ◽  
S Sanchez Alvarez ◽  
P Garcia Gonzalez ◽  
B Trejo Velasco ◽  
V Vidal Urrutia ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Coronary Artery ◽  
Physical Exercise ◽  
Left Main Coronary Artery ◽  
Sudden Cardiac Arrest ◽  
Anomalous Origin ◽  
Moderate Intensity ◽  
Sinus Of Valsalva ◽  
Left Main ◽  
The Right

Abstract A 43-year-old male was brought to the emergency department due to a recovered sudden cardiac arrest that occurred while performing physical exercise of moderate intensity. The patient was admitted in a coronary care unit and performed complementary tests to rule out immediate causes of cardiac arrest electrocardiogram showed sinus rhythm, no repolarization abnormalities and normal QTc interval. Echocardiogram revealed no evidence of cardiac tamponade, massive pulmonary embolism (PE), ventricular dysfunction or valvular heart disease. Absence of pneumothorax in chest X-ray. Arterial blood gas test revealed a high lactate concentration with other parameters in normal range. Cerebral tomography showed absence of an acute hemorrhagic event. To continue with the study an emergent coronarography was performed showing epicardial arteries with no significant obstructive coronary artery disease associated with an anomalous origin of left main coronary artery in the right sinus of Valsalva with possible interarterial course. Coronary tomography confirmed the origin of the right coronary artery and the left main coronary artery in the right sinus of Valsalva with an interarterial course, proceeding to the reconstruction of the images with the volume rendering (VR) technique (Figure 1). Congenital anomalies of the coronary arteries are a rare but life-threatening condition. Most coronary abnormalities are asymptomatic and follow a benign course, however, in some cases they present with ischemic symptoms, heart failure, myocardial infarction, syncope or sudden death. The anomalous origin of the left main coronary artery in the right sinus of Valsalva can cause myocardial ischemia and should be ruled out in young patients who present sudden cardiac arrest induced by physical exercise. Abstract P269 Figure 1

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