Multiperforated Atrial Septal Aneurysm and a Single Coronary Artery

Multiperforated atrial septal aneurysm (ASA) with left-to-right shunt and elevated pulmonary arterial pressure is rare. We present an adult patient with this unusual anomaly combined with a single coronary ostium emerging from the right sinus of Valsalva. The ASA was excised and the defect repaired successfully.

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Single Coronary Ostium in Right Coronary Sinus: Previously Unreported “One for All” Configuration

Texas Heart Institute Journal ◽

10.14503/thij-13-3806 ◽

2014 ◽

Vol 41 (6) ◽

pp. 601-602 ◽

Cited By ~ 2

Author(s):

Mario Njeim ◽

Youssef Nasr ◽

Mohamad Younes ◽

Thomas K. Song ◽

Gerald C. Koenig ◽

...

Keyword(s):

Chest Pain ◽

Coronary Artery ◽

Right Ventricular ◽

Coronary Sinus ◽

Coronary Ostium ◽

Sinus Of Valsalva ◽

Circumflex Coronary Artery ◽

The Right ◽

Single Coronary Ostium ◽

Coronary Angiograms

We report our identification of a single coronary ostium arising from the right coronary sinus of Valsalva, in a 63-year-old woman who presented with chest pain atypical of angina. Coronary angiograms showed that the left anterior descending coronary artery arose from a right ventricular branch and that the left circumflex coronary artery arose from a right posterolateral branch. Both arteries reconstituted themselves in a backward fashion from the apex to the base of the heart—a configuration that to our knowledge has not been reported. The patient was treated conservatively and reported no chest pain 24 months later.

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MDCT of the anomalous origin of the right coronary artery from the left sinus of Valsalva as a single coronary artery

International Journal of Cardiology ◽

10.1016/j.ijcard.2005.03.077 ◽

2006 ◽

Vol 109 (1) ◽

pp. 125-126 ◽

Cited By ~ 13

Author(s):

Yuichi Sato ◽

Makoto Ichikawa ◽

Mitsuyo Masubuchi ◽

Shunichi Yoda ◽

Satoru Furuhashi ◽

...

Keyword(s):

Coronary Artery ◽

Right Coronary Artery ◽

Anomalous Origin ◽

Single Coronary Artery ◽

Sinus Of Valsalva ◽

The Right ◽

Left Sinus Of Valsalva

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Patient with Acute Coronary Syndrome in the Setting of an Extremely Rare form of Complex Congenital Anomalous Coronaries

Aorta ◽

10.1055/s-0041-1729852 ◽

2021 ◽

Author(s):

Mahmoud Abdelnabi ◽

Fady Gerges ◽

Yehia Saleh ◽

Eman Elsharkawy ◽

Mohamed Sanhoury ◽

...

Keyword(s):

Acute Coronary Syndrome ◽

Coronary Artery ◽

Young Patient ◽

Right Coronary Artery ◽

Unusual Case ◽

Single Coronary Artery ◽

Sinus Of Valsalva ◽

Rare Form ◽

Coronary Syndrome ◽

The Right

AbstractA single coronary artery is an exceedingly rare anomaly. Hereby, we present an unusual case of a young patient with an acute coronary syndrome who was found to have a single coronary artery originating from a single ostium in the right sinus of Valsalva with dual left anterior descending (LAD) arteries arising from the right coronary artery with two different anatomical courses, and additionally one of those LADs running a malignant intra-arterial course.

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Chronic lung lymph fistula that only drains the left lung

AJP Regulatory Integrative and Comparative Physiology ◽

10.1152/ajpregu.1995.269.4.r943 ◽

1995 ◽

Vol 269 (4) ◽

pp. R943-R947

Author(s):

Y. Kikuchi ◽

H. Nakazawa ◽

D. L. Traber

Keyword(s):

Arterial Pressure ◽

Pulmonary Arterial Pressure ◽

Mediastinal Lymph Node ◽

Pulmonary Veins ◽

Pulmonary Arteries ◽

Left Lung ◽

Lymph Flow ◽

Pulmonary Arterial ◽

The Right ◽

Arteries And Veins

We developed a chronic lung fistula that drains only the left lung, allowing for evaluation of injury in a single lung. To remove lymph drainage from the right lung into the caudal mediastinal lymph node, the right lower pulmonary ligament was severed. Pneumatic occluders were placed on the left pulmonary arteries and veins. To ensure that lymph drained from only the left lung, we increased the right pulmonary arterial pressure (RPAP) from 21.2 +/- 0.5 to 36.5 +/- 0.6 mmHg. The left pulmonary arterial pressure (LPAP) was kept at wedge pressure level for 1 h by inflating pneumatic occluders. Lymph flow from the left lung fistula was stable during this occlusion. Six hours after recovery was increased the LPAP from a baseline level of 19.1 +/- 1.0 to 36.4 +/- 0.9 mmHg and the RPAP from 21.2 +/- 0.5 to 38.0 +/- 0.8 mmHg for 2 h by inflating the pneumatic occluders on the left and right pulmonary veins. Lymph flow increased from 5.3 +/- 1.0 to 28.0 +/- 2.9 ml/h. Reflection coefficient was calculated at 0.80 +/- 0.02.

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