scholarly journals Utilization of Cardiac Graft with Single Coronary Artery for Orthotopic Heart Transplantation

2021 ◽  
Author(s):  
Nicholas Hess ◽  
Mary Keebler ◽  
Carly A. Fabrizio ◽  
David Kaczorowski
Keyword(s):  
Coronary Artery ◽  
Heart Transplantation ◽  
Left Main Coronary Artery ◽  
Orthotopic Heart Transplantation ◽  
Small Subset ◽  
Single Coronary Artery ◽  
The Right ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries

Anomalous coronary arteries arise in a small subset of the population, with each configuration conveying a varying degree of long-term risk. In this report, we describe the discovery of an anomalous single coronary artery with the left main coronary artery arising from the right coronary ostium in a 40-year old male evaluated for cardiac donation. After evaluation, this heart was successfully procured and utilized for orthotopic heart transplantation.

scholarly journals Incidental Anomalous Left Coronary Artery in a Transplanted Heart

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Sri Harsha Patlolla ◽  
Saraschandra Vallabhajosyula ◽  
Malcolm R. Bell
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Left Main Coronary Artery ◽  
Cardiac Anomaly ◽  
Donor Heart ◽  
Anomalous Left Coronary Artery ◽  
Congenital Cardiac Anomaly ◽  
The Right ◽  
Anomalous Coronary ◽  
Anomalous Left Coronary

Anomalous coronary artery is an uncommon congenital cardiac anomaly that is often detected incidentally on coronary angiography. It has rarely been reported in the donor heart of patients who have undergone cardiac transplantation. Here, we report a case of a 72-year-old patient who received a second heart transplant and has been identified to have an anomalous left main coronary artery originating from the right coronary sinus on postoperative coronary angiography.

Anomalous aortic origin of a coronary artery: a universally applicable surgical strategy

2010 ◽  
Vol 20 (S3) ◽  
pp. 44-49 ◽  
Author(s):  
Tom R. Karl ◽  
Sylvio C. J. Provenzano ◽  
Graham R. Nunn
Keyword(s):  
Coronary Artery ◽  
Left Pulmonary Artery ◽  
Ascending Aorta ◽  
Pulmonary Trunk ◽  
Cardiac Anomaly ◽  
Sinus Of Valsalva ◽  
The Right ◽  
Arterial Malformation ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries

AbstractThe most commonly reported coronary arterial malformation, in accounts of sudden deaths, is anomalous aortic origin of a coronary artery. Anomalous coronary arteries may arise from the left, right, or non-coronary sinuses of Valsalva. Importantly, although the left coronary artery from the right sinus has the worst prognosis, sudden death has been reported in all variants of origin from the various sinuses of Valsalva. This paper describes a technique that addresses all of the problems relating to anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva. This technique includes the transection of the ascending aorta and pulmonary trunk, coronary arterial enlargement with a pericardial patch, and lateral translocation of the pulmonary trunk to the left pulmonary artery. Anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva is a potentially lethal cardiac anomaly that can be corrected in all cases using this simplified surgical technique that addresses the major anatomic and physiological problems.

scholarly journals Anomalous Origin of All Coronary Arteries from Right Sinus of Valsalva

2020 ◽  
Vol 47 (2) ◽  
pp. 170-172
Author(s):  
Harini Bollempalli ◽  
Vijay G. Divakaran ◽  
Andrew C. Kontak ◽  
Patricia C. Lee
Keyword(s):  
Coronary Artery ◽  
Coronary Arteries ◽  
Sinus Of Valsalva ◽  
Exertional Dyspnea ◽  
Atherosclerotic Stenosis ◽  
Obtuse Marginal Branch ◽  
Obtuse Marginal ◽  
The Right ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries

Anomalous coronary arteries are rare and often incidental findings. Most variants are benign. We present the case of a 75-year-old man with exertional dyspnea in whom the left anterior descending coronary artery arose from the right sinus of Valsalva, and the left circumflex coronary artery originated from the distal right coronary artery and supplied the obtuse marginal branch. No arteries originated from the left sinus of Valsalva. The patient was prescribed optimal medical therapy for atherosclerotic stenosis in his ramus intermedius. His symptoms were stable 3 years later.

Coronary anomalies

2021 ◽  
pp. 435-440
Author(s):  
Anita Nguyen ◽  
Ramachandra C. Reddy ◽  
Hartzell V. Schaff
Keyword(s):  
Coronary Artery ◽  
Coronary Arteries ◽  
Left Coronary Artery ◽  
Great Vessels ◽  
Coronary Artery Fistulas ◽  
Cardiovascular Structure ◽  
The Right ◽  
Anomalous Coronary ◽  
Anomalous Left Coronary ◽  
Anomalous Coronary Arteries

Anomalous coronary arteries are relatively common, occurring in approximately 1.3% of the general population. Most variants of anomalous coronary arteries do not cause disability and have a benign course. Surgery is warranted to alleviate symptoms. However, some anomalies, such as a left coronary artery arising from the right sinus of Valsalva and passing between the great vessels or anomalous left coronary artery arising from the pulmonary artery, are considered malignant as they have been associated with sudden cardiac death or heart failure, and in these cases, surgery is indicated. Coronary artery fistulas are abnormal communications between a coronary artery and another cardiovascular structure. They are relatively rare, and surgical or transcatheter closure may be necessary in patients with large left-to-right shunts and/or regional myocardial ischaemia.

Cardiovascular Computed Tomographic Angiography as a Virtual Patient Avatar for Individualized Surgical Planning of Complex Anomalous Coronary Artery Anatomy

2019 ◽  
Vol 10 (4) ◽  
pp. 502-503
Author(s):  
Jerold S. Shinbane ◽  
Craig Baker ◽  
Farhood Saremi ◽  
Vaughn Starnes
Keyword(s):  
Coronary Artery ◽  
Computed Tomographic Angiography ◽  
Virtual Patient ◽  
Single Coronary Artery ◽  
Anomalous Coronary Artery ◽  
Computed Tomographic ◽  
Coronary Artery Anatomy ◽  
The Right ◽  
Tomographic Angiography ◽  
Anomalous Coronary

Cardiovascular computed tomographic angiography (CCTA) 3-D thoracic reconstruction can serve as a “virtual patient avatar” providing surgical views for approach to complex anomalous coronary artery anatomy. Images demonstrated a single coronary artery ostium arising from the right aortic sinus with trifurcation into a prepulmonic left anterior descending coronary artery (LAD), an interarterial circumflex with a subsequent intraseptal course, and normal course of the right coronary artery. Virtual 3-D CCTA reconstructions were important to planning an incisional plane for surgical correction.

scholarly journals Anomalous origin of left main coronary artery from right coronary artery in a patient presenting with inferior wall myocardial infarction: a case report and literature review

2019 ◽  
Vol 3 (4) ◽  
pp. 1-6
Author(s):  
Dipesh Ludhwani ◽  
Vincent Woo
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Left Main Coronary Artery ◽  
Anomalous Origin ◽  
Single Coronary Artery ◽  
Inferior Wall ◽  
Left Main ◽  
St Segment Elevation ◽  
St Segment ◽  
The Right

Abstract Background Anomalous origin of the coronary arteries is seen in less than 1% of the general population. Single coronary artery (SCA) is a congenital anatomic abnormality identified by a single coronary ostium giving rise to one coronary artery. We present an extremely rare variant of the left main coronary artery (LMCA) branching off from the right coronary artery (RCA) and following a prepulmonic course. Case summary A 72-year-old woman presented due to ongoing chest pain with associated ST-segment elevation involving the inferior leads. Emergent cardiac catheterization revealed a 99% ulcerated lesion in distal RCA, which was intervened on with angioplasty and stent placement. The RCA was noted giving rise to LMCA, which followed a prepulmonic course (anterior to pulmonary artery) before trifurcating into a small caliber left anterior descending, ramus intermedius, and hypoplastic left circumflex arteries. The non-malignant course of the aberrant LMCA was confirmed on the coronary computed tomography angiogram. The patient was discharged home on guideline-directed medical therapy. Discussion The patient illustrated congenital SCA with type RIIA pattern of the aberrant vessel based on the Lipton anatomic classification for SCA. The prepulmonic course of SCA is usually benign and can be managed conservatively.

scholarly journals Anomaly of left coronary artery

2018 ◽  
Vol 41 (3) ◽  
pp. 143
Author(s):  
Finesa Hasye ◽  
Yerizal Karani
Keyword(s):  
Coronary Artery ◽  
Coronary Disease ◽  
Left Coronary Artery ◽  
Coronary Anomalies ◽  
Coronary Artery Anomalies ◽  
Invasive Angiography ◽  
Artery First ◽  
The Right ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries

Anomalies of the coronary artery are uncommon, with a reported incidence of 0.3% to 1.3% in the coronary angiography studies routinely performed for suspected atherosclerotic coronary disease. There were 0.92% incidence of anomalous origination of the right coronary artery from the left sinus and the 0.15% incidence of anomalous origination of the left coronary artery from the right sinus. Most coronary artery anomalies are diagnosed by invasive angiography performed to investigate suspected atherosclerotic coronary disease. There are two important managements for patient with anomaly coronary artery. First, these coronary anomalies should result in exclusion from participation in intense competitive sports to reduce the risk of a cardiac event or sudden death. Second, and more importantly, treatment for wrong sinus coronary artery anomalies are revascularization can be either surgical or percutaneous. Surgical intervention should be considered for high-risk varieties of anomalous coronary arteries, as this is the only treatment that has been demonstrated to improve coronary blood flow and carries a low morbidity and mortality.

scholarly journals The Anatomical History of a Single Coronary Artery Anomaly: A Case Report

2021 ◽  
Vol 24 (5) ◽  
pp. E772-E775
Author(s):  
Musa Muhtaroglu ◽  
Sevda Lafcı Fahrioglu ◽  
Osman Beton ◽  
Sezgin İlgi
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Single Coronary Artery ◽  
Left Main ◽  
Conventional Angiography ◽  
History Of ◽  
Whole Heart ◽  
The Right ◽  
Clinical Pictures ◽  
Single Coronary Artery Anomaly

Single coronary artery(SCA) anomaly is a rare anomaly where the right and left coronary arteries arise from a single ostium in the sinus valsalva and feed the whole heart. Although asymptomatic in most cases, it can cause angina, syncope, myocardial infarction and sudden cardiac death. It is essential to diagnose it especially in terms of the risk of encountering clinical pictures such as sudden death at a young age and its association with other congenital anomalies. In this report, we present a patient with a SCA anomaly. During an emergency conventional angiography, a right coronary artery(RCA) arising from the left main coronary artery(LMCA) originating from a single ostium was detected in the aorta. 

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