scholarly journals Incidental Detection of a Rare Coronary Anomaly During Catheter Ablation for Premature Ventricular Complexes: All in One Coronary Ostium

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.

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 


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.


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.


2018 ◽  
Vol 26 (6) ◽  
pp. 473-475 ◽  
Author(s):  
Yutaka Imoto ◽  
Tomoyuki Matsuba ◽  
Hideaki Kanda ◽  
Yuki Ogata ◽  
Shuji Nagatomi ◽  
...  

A 14-year-old boy was diagnosed with an anomalous left coronary artery coursing between the ascending aorta and the main pulmonary artery and associated with a single coronary ostium. Owing to the high risk of sudden cardiac death, surgery was performed although he was asymptomatic with no sign of myocardial ischemia. Reimplantation of an anomalous left coronary artery is generally considered difficult because an aortic cuff is unavailable for coronary anastomosis; however, we accomplished a successful direct reimplantation in this patient. This procedure offers another choice in the surgical treatment of anomalous left coronary artery.


2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Gitsios Gitsioudis ◽  
Evangelos Giannitsis ◽  
Waldemar Hosch ◽  
Hans U. Kauczor ◽  
Hugo A. Katus ◽  
...  

Herein we report the diagnostic potential of cardiac computed tomography (cCT) to delineate the origin and course of an anomalous right coronary artery (RCA) originating from the midpart of the left anterior descended artery (LAD) in an adult with no other form of congenital heart disease. The patient was referred to our institution due to exertional dyspnea and suspected coronary artery disease. The patient underwent X-ray coronary angiography, and no high grade lesions were observed in the left coronary vessels. In the course of the mid-left-anterior-descending artery (LAD), an anomalous side branch coursing away from the left circumflex coronary artery (LCX) was observed, while a right coronary ostium could not be depicted. cCT confirmed the absence of a right coronary ostium, and the vessel originating from the mid LAD was identified as an anomalous RCA, which coursed anterior of the aorta and the pulmonary trunk.


2019 ◽  
Vol 22 (3) ◽  
pp. E269-E270
Author(s):  
Cenk Conkbayir ◽  
Ugur Coskun ◽  
Didem Melis Oztas ◽  
Metin Onur Beyaz ◽  
Mert Meric ◽  
...  

Advanced diagnostic systems and healthcare screening programs enabled increased diagnosis of congenital cardiovascular anomalies, including variations in coronary arteries. Single coronary artery is a rare congenital cardiovascular malformation in which all three main coronary arteries originate from a single coronary trunk. In this report, we present a patient with single coronary ostium giving rise to the left and right coronary artery systems, which was diagnosed incidentally with coronary computerized tomography and confirmed with conventional angiography. INTRODUCTION


Author(s):  
Valeria Pergola ◽  
Giulio Cabrelle ◽  
Giulio Barbiero ◽  
Carlo Maria Dellino ◽  
Elena Reffo ◽  
...  

SCA from the right sinus is the rarest coronary anomaly. We describe 2 cases: 1 with SCA type-1RI; 2 with SCA type-2RII-A. Appropriate and successful treatment (CABG in case-1; PTCA in case-2) was chosen relying on accurate morphological description provided by MDCT, in order to recognize all the possible mechanisms of myocardial ischemia.


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