scholarly journals Coronary Angioplasty of the Circumflex Artery with anomalous Left Coronary Artery and origin from the Right Sinus of Valsalva ¨A Case Report¨

2021 ◽  
Vol 4 (14) ◽  
pp. 01-04
Author(s):  
Rodrigo A. Martin ◽  
Ricardo Marcelo Cetera ◽  
Amalia Descalzo ◽  
Sergio Zolorza

We report a patient in the sixth decade of life with a benign anomalous course and a history of atherosclerotic disease in the right coronary artery with the presence of ischemia. We present a clinical case of infrequent finding of abnormal left coronary artery and obstructive atherosclerotic lesion in the circumflex artery. The authors decided to perform coronary angioplasty on the lesion found. Because it is an infrequent condition, we conducted a literature search in which we focused on the statistical findings, the clinical presentation and detailed the treatment of the patient by means of coronary angioplasty. Despite the difficulty of the case, success was achieved.

Author(s):  
Waleed Albadi ◽  
Bernard Kreitmann ◽  
François Roubertie

Abstract The anomalous origin of the left coronary artery from the pulmonary artery in the position of a non-facing coronary sinus is extremely rare. The anatomical position of the ectopic ostia will determine which is the appropriate operative approach to create a dual-coronary supply. This report describes a technique of modified extra-anatomical rerouting using autologous pericardium patch and pulmonary artery flap to create a neo-composite coronary trunk passing anterior to the right ventricular outflow tract.


2010 ◽  
Vol 140 ◽  
pp. S70
Author(s):  
Ugur Canpolat ◽  
Hamza Sunman ◽  
Hikmet Yorgun ◽  
Ahmet Hakan Ates ◽  
Aysegul Ulgen ◽  
...  

2019 ◽  
Vol 3 (4) ◽  
pp. 1-4
Author(s):  
Martin Hölscher ◽  
Walter Knirsch ◽  
Hitendu Dave ◽  
Barbara E U Burkhardt

Abstract Background Anomalous left coronary artery from pulmonary artery (ALCAPA) is a rare coronary abnormality. Although it exists usually as an isolated abnormality, ALCAPA has been described with aortic pathologies like coarctation or aortopulmonary window. Case summary An 18-day-old female was admitted to the paediatric intensive care unit because of a heart murmur and weak femoral pulses. A transthoracic two-dimensional echocardiography was performed and confirmed suspected diagnosis of aortic coarctation. In addition, a total retrograde perfusion of the left circumflex coronary artery (LCX) was found, without visible flow through the ostium of the left coronary artery (LCA) into the aorta. A coronary angiography was performed, showing a single right coronary artery with a normal right posterior descending artery (RPD). Supplied by collaterals from the RPD, the LCX was perfused retrogradely, passing by the lateral wall of the ascending aorta without flowing into it, but into the right pulmonary artery. At 23 days of age, surgery was performed with resection of the aortic coarctation and reimplantation of the LCA into the posterior aortic wall. Discussion This case demonstrates that coronary artery anomalies like ALCAPA may occur together with other cardiac malformations. Despite concomitant cardiac lesions, careful assessment of the coronary arteries is mandatory, including cardiac catheterization in case of doubt.


2012 ◽  
Vol 144 (2) ◽  
pp. 402-408 ◽  
Author(s):  
Carlo R. Bartoli ◽  
William B. Wead ◽  
Guruprasad A. Giridharan ◽  
Sumanth D. Prabhu ◽  
Steven C. Koenig ◽  
...  

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