scholarly journals Unusual Cause for Pediatric Chest Pain: MDCT Evaluation of Single Coronary Artery

2014 ◽  
Vol 3 (2) ◽  
pp. 81-84
Author(s):  
K Gangadhar

Single coronary artery (SCA) is a rare congenital anomaly in which the entire coronary system arises from a solitary ostium. Anomalies of the coronary arteries are rare conditions that are often asymptomatic. However, if perfusion by the coronary artery is impaired, this anomaly can lead to a life-threatening situation, such as myocardial ischemia or infarction, and sudden cardiac death. We report a case of single coronary artery in a six year old girl who presented with acute chest pain.DOI: http://dx.doi.org/10.3126/njr.v3i2.9616    Nepalese Journal of Radiology Vol.3(2)July-Dec, 2013: 81-84 

Acta Medica ◽  
2021 ◽  
pp. 1-3
Author(s):  
Yusuf Ziya Şener ◽  
Uğur Canpolat ◽  
Hikmet Yorgun ◽  
Tuncay Hazırolan ◽  
Kudret Aytemir

Single coronary artery is a rare congenital anomaly associated with sudden cardiac death even though most of the cases are asymptomatic. Cardiac computerized tomography angiography plays an essential role in establishing the diagnosis of single coronary artery and designating the arterial course. Being aware of coronary anomaly is crucial in some cases scheduled for catheter ablation of premature ventricular complex neighboring to coronary arteries to prevent radiofrequency ablation related vascular injury.


2020 ◽  
Vol 30 (10) ◽  
pp. 1510-1511
Author(s):  
Rachel Rosenthal ◽  
Hannah Obasi ◽  
Daniel D. Im

AbstractMyocarditis and coronary artery anomalies are both potentially life-threatening aetiologies of cardiac chest pain in children. We present a case of a young man presenting with non-exertional chest pain and subsequently found to have an anomalous origin of the right coronary artery from the left coronary sinus with an interarterial course in addition to a diagnosis of myocarditis. The patient subsequently was able to undergo surgical correction of his anomalous coronary to mitigate the risk of sudden cardiac death.


2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Rashid Al Umairi ◽  
Maryam Al-khouri

Background. Single coronary artery (SCA) is a rare congenital anomaly in which there is an isolated coronary artery that arises from a single coronary ostium and provides coronary blood supply to the entire myocardium. SCA is classified into different types based on the origin, branching pattern, and course. Although the majority of patients with SCA are asymptomatic, some patients can present with life-threatening symptoms. Aim. To examine the prevalence, anatomical distribution, and outcome of the single coronary artery anomaly detected on coronary computed tomography angiography (CCTA) in a single center in Oman. Methods. Retrospectively, we reviewed 4,445 patients who underwent coronary computed tomography angiography between September 2012 and August 2018 at the National Heart Center, Muscat, Oman. We identified patients with a single coronary artery, and we evaluated the origin, course, and outcome of SCA. Results. We found 12 patients with single coronary artery among 4,445 patients with a mean age of 56.4 years (age range: 34 to 71 years; male : female ratio: 5 : 7). The most common class was RIII-C seen in 4 patients. Other SCA included RII-C, RII-A, and RII-S, two in each class. One patient had RI and one had LII-P. Two patients had coronary artery bypass graft. No major adverse cardiac events were reported over a mean follow-up of 25.3 months. Conclusion. Single coronary artery (SCA) is a rare congenital anomaly classified into different types. In our study, the prevalence of SCA was 0.27% that is higher than the figures from previous reports.


2015 ◽  
Vol 5 ◽  
pp. 25 ◽  
Author(s):  
Lale Pasaoglu ◽  
Ugur Toprak ◽  
Emre Nalbant ◽  
Gokhan Yagiz

Left anterior descending (LAD) artery and left circumflex (LCx) coronary artery originating separately from the right sinus of valsalva is exceptionally rare and very few cases have been reported in the literature. Congenital coronary artery anomalies are generally incidental, uncommon, and asymptomatic. Some can cause severe potentially life-threatening symptoms such as myocardial ischemia and sudden cardiac death. The aberrant vessels that pass between the aorta and the pulmonary trunk pose a risk of sudden cardiac death, particularly if the vessel supplies the left coronary artery network. The electrocardiographically gated multi-detector computed tomography (MDCT) allows accurate and non-invasive depiction of coronary artery anomalies including origin, course, and termination. We report here a rare case of all three coronary arteries separately originating from the right coronary sinus, which was detected with MDCT.


2019 ◽  
Vol 18 (1) ◽  
pp. 40-42
Author(s):  
Jakub Zápeca ◽  
Martin Gřiva ◽  
Zdeněk Coufal

2019 ◽  
Vol 16 (1) ◽  
pp. 55-56
Author(s):  
Laxman Dubey ◽  
Ridhi Adhikari ◽  
Suresh Deep

Coronary arteries arising from single coronary sinus is a rare congenital anomaly. We report a 30-year-old male who presented with atypical chest pain and computed tomography coronary angiography revealed a solitary coronary artery originating from a single ostium in the right sinus of Valsalva. 


2005 ◽  
Vol 6 (2) ◽  
pp. 89-90 ◽  
Author(s):  
Pirooz S. Mofrad ◽  
Guy Weigold ◽  
Leonardo C. Clavijo

Author(s):  
Aditya Gupta ◽  
Rohit Rai ◽  
Shakil Shaikh ◽  
Kalyan Munde ◽  
Narendra O. Bansal

Aim: Single coronary artery is a rare anomaly. Patients may present with syncope, angina or rarely sudden cardiac death. Presentation of Case: Patient presented with dyspnea on exertion for one year. On 2D Echo patient had small restrictive VSD. On coronary angiography single coronary artery from right cusp was seen. On CT angiography anomalous origin was confirmed. There was no malignant course of coronary artery. Discussion: Anomalous origin of coronary arteries are rare cardiac anomalies. It can present as syncope, angina, or sudden cardiac death especially in patients with malignant course of coronary artery passing between aorta and pulmonary artery. Hence CT coronary angiography is useful to rule out the malignant course. In our patient, there was no malignant course hence managed conservatively. Conclusion: Anomalous origin of coronary artery is a rare anomaly and requires tailored treatment according to type and course of artery.


Author(s):  
Abra Guo ◽  
Hooman Bakhshi ◽  
James O'Hara ◽  
Leonard Genovese ◽  
Adam Fein ◽  
...  

Hypoplastic coronary artery disease is a rare congenital anomaly that may present with ischaemic heart disease, heart failure or sudden cardiac death (SCD). We describe a case of cardiac arrest in a healthy young man. Work-up revealed a hypoplastic left anterior descending artery. The patient underwent cardioverter-defibrillator implantation for secondary prevention.


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