Perfusion Study Helps in the Management of the Intraseptal Course of an Anomalous Coronary Artery

2019 ◽  
Vol 10 (3) ◽  
pp. 360-363 ◽  
Author(s):  
Salvatore Agati ◽  
Aurelio Secinaro ◽  
Federica Caldaroni ◽  
Davide Calvaruso ◽  
Lucia Manuri ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Cardiac Death ◽  
Incidental Finding ◽  
Anomalous Coronary Artery ◽  
Perfusion Deficit ◽  
Sinus Of Valsalva ◽  
Perfusion Study ◽  
Aortic Sinus ◽  
Aggressive Surgical Approach ◽  
Anomalous Coronary

Anomalous origin of a coronary artery from the opposite aortic sinus of Valsalva can present in various ways, ranging from a benign and incidental finding to sudden cardiac death. The variant with an intraseptal subpulmonary course (sometimes referred to as intraconal), is widely perceived to carry a low risk of ischemia and has been considered to be a benign variant, not requiring surgical treatment. In one of our recent patients, however, nuclear scintigraphy highlighted a myocardial perfusion deficit in the territory supplied by the allegedly benign anomalous coronary artery, prompting the need for a more aggressive surgical approach.

scholarly journals Simple Provisional Stenting or two-stent Strategies to Treat Anomalous Right Coronary Originating from the mid of left Anterior Descending Coronary Artery

2020 ◽  
Vol 3 (11) ◽  
pp. 01-06
Author(s):  
Xuguang Qin
Keyword(s):  
Coronary Artery ◽  
Coronary Arteries ◽  
Incidental Finding ◽  
Anomalous Coronary Artery ◽  
Sinus Of Valsalva ◽  
First Case ◽  
Bifurcation Lesions ◽  
Provisional Stenting ◽  
Anomalous Coronary ◽  
Left Sinus Of Valsalva

Congenital anomalies of coronary arteries (CAAS) are very rare and usually documented as an incidental finding during routine catheter or CT angiograms performed for other reasons. Their prevalence ranges from 0.2% to 1.3% based published series. The most common coronary artery anomaly is origination of the left circumflex coronary (LCX) artery from the proximal of right coronary artery (RCA) or right sinus of Valsalva. The second is separate origination of the left anterior descending coronary artery (LAD) and LCX artery from the left sinus of Valsalva. Herein, we present three cases that the anomalous RCA arises from the mid of left anterior descending coronary artery (LAD). The bifurcation lesions of first case was treated using two-stent strategies of DK culotte, excellent angiography results was observed. The last two cases were treated using simple provisional stenting strategy: one stent was deployed crossover the ostium of the anomalous coronary artery, final angiographic results were excellent. These cases are extremely rare. We bring forth them in an attempt to highlight their significance, and make cardiologist to understand what important the anomalies are, and the strategy how to treatment these bifurcation lesions.

scholarly journals Anomalous Coronary Artery Origin and Sudden Cardiac Death

2019 ◽  
Vol 5 (4) ◽  
pp. 516-522 ◽  
Author(s):  
Gherardo Finocchiaro ◽  
Elijah R. Behr ◽  
Gaia Tanzarella ◽  
Michael Papadakis ◽  
Aneil Malhotra ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Sudden Cardiac Death ◽  
Cardiac Death ◽  
Anomalous Coronary Artery ◽  
Anomalous Coronary

The sinister course of an intramural right coronary artery

2011 ◽  
Vol 22 (2) ◽  
pp. 206-208
Author(s):  
Deane L. S. Yim ◽  
Mark C. K. Hamilton ◽  
Robert M. R. Tulloh
Keyword(s):  
Computed Tomography ◽  
Coronary Artery ◽  
Sudden Death ◽  
Spatial Resolution ◽  
Anomalous Coronary Artery ◽  
Aortic Sinus ◽  
Left And Right ◽  
High Index Of Suspicion ◽  
Anomalous Coronary ◽  
Multi Detector Computed Tomography

AbstractWe report the case of an adolescent who was presented with long-standing exertional symptoms, and was diagnosed with an anomalous right coronary arterial origin arising above the commissural junction between the left and right aortic sinus, with inter-arterial and intramural compression. The precise origin of this lesion outside the aortic sinuses is unusual, and multi-detector computed tomography gave excellent definition and spatial resolution of the anomalous origin and course. It is crucial to have a high index of suspicion of exertional symptoms, as sudden death may be the first manifestation of an anomalous coronary artery.

Sudden Cardiac Death in Young Athletes: A Review for Nurses

1992 ◽  
Vol 3 (1) ◽  
pp. 243-254 ◽  
Author(s):  
Patricia L. Vaska
Keyword(s):  
Health Care ◽  
Coronary Artery ◽  
Hypertrophic Cardiomyopathy ◽  
Sudden Death ◽  
Cardiac Death ◽  
Anomalous Coronary Artery ◽  
Young Athletes ◽  
Health Care Practitioners ◽  
Common Causes ◽  
Anomalous Coronary

Sudden death in young athletes is a rare and devastating event. The most frequent causes of sudden death in this group are hypertrophic cardiomyopathy, anomalous coronary artery, and Marfan syndrome. This article describes the physiology of exercise and the pathophysiology associated with the most frequent causes as well as some of the less common causes of sudden death in young athletes. Identification of youth who may be at risk should be a priority for health care practitioners, and suggestions for recognizing and counseling affected athletes are therefore included

Bicuspid aortic valve and anomalous right coronary artery from the opposite coronary sinus

2021 ◽  
pp. 1-3
Author(s):  
Giuliano Giusti ◽  
Mariantonia Villano ◽  
Marco Pozzi
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Right Coronary Artery ◽  
Anomalous Coronary Artery ◽  
Sinus Of Valsalva ◽  
Intravascular Ultrasonography ◽  
Large Observational Study ◽  
The Right ◽  
Anomalous Coronary

Abstract We report on a patient with bicuspid aortic valve and anomalous right coronary artery from the opposite sinus without evidence of intramural course. Different authors support the universal presence of intramural course in patients with origin of the right coronary artery from the opposite sinus of Valsalva in normal heart. The occurrence of both bicuspid aortic valve and the absence of intramural course may not be accidental. This might suggest a developmental interaction between bicuspid aortic valve and anomalous coronary artery. Large observational study including characterisation by intravascular ultrasonography in patients with bicuspid aortic valve and anomalous coronary is needed.

scholarly journals Three-dimensional transoesophageal echocardiography in a case of anomalous origin of the left coronary artery from the opposite sinus of Valsalva.

2021 ◽  
Author(s):  
Giuliano Giusti ◽  
Carmelo Arcidiacono ◽  
Marco Pozzi
Keyword(s):  
Coronary Artery ◽  
Left Coronary Artery ◽  
Three Dimensional ◽  
Transoesophageal Echocardiography ◽  
Anomalous Origin ◽  
Coronary Ostium ◽  
Anomalous Coronary Artery ◽  
Proof Of Concept ◽  
Sinus Of Valsalva ◽  
Anomalous Coronary

Abnormal ostial morphology and acute take-off are considered potential mechanisms of flow obstruction in the anomalous coronary artery. We present a proof of concept describing how three-dimensional transoesophageal echocardiography can be used to visualise the coronary ostium and proximal course in patients with anomalous coronary artery.

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