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

2021 ◽  
Vol 36 (1) ◽  
pp. 61-66
Author(s):  
Mohammad Rafiur Rahman ◽  
Asma Akter ◽  
Arif Ahmed Mohiuddin ◽  
Sayedur Rahman Khan ◽  
Jahangir Kabir
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Left Main Coronary Artery ◽  
Antiplatelet Agents ◽  
Anomalous Origin ◽  
Conventional Coronary Angiography ◽  
Single Coronary Artery ◽  
Inferior Wall ◽  
Left Main ◽  
Off Pump

Anomalous origin of the coronary arteries is a very rare phenomenon and is seen only 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. Our case presented at 40 years with intermittent chest discomfort, effort intolerance and a history of getting Streptokinase one month back due to AMI (Inferior). Diagnosis was confirmed with elective conventional coronary angiography and coronary CT angiography as an extremely rare variant of the left main coronary artery (LMCA) branching off from the right coronary artery (RCA) and then following a pre-pulmonic course. We did Off Pump CABG surgery with four grafts and discharged the patient uneventfully with guidelinedirected medical therapy with a beta-blocker, statin, and dual antiplatelet agents and the patient is on follow up. Bangladesh Heart Journal 2021; 36(1) : 61-66

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 Anomalous origin of right coronary artery from left coronary sinus associated with aneurysm of aortic root

2018 ◽  
Vol 2 (Issue 4) ◽  
pp. 123 ◽  
Author(s):  
Rustem Tuleutayev ◽  
Daurenbek Urazbekov ◽  
Kuat Abzaliyev ◽  
Kyanysh Ongarbayev
Keyword(s):  
Coronary Artery ◽  
Coronary Arteries ◽  
Right Coronary Artery ◽  
Coronary Sinus ◽  
Aortic Root ◽  
Left Main Coronary Artery ◽  
Anomalous Origin ◽  
Sinus Of Valsalva ◽  
Left Main ◽  
Common Area

Prevalence of anomalous origin of right coronary artery (RCA) from left coronary sinus in population according to autopsy studies is 0.026%. Origin of left main coronary artery and RCA from opposite sinus of Valsalva with further course of anomalous vessels between aorta and pulmonary artery often is linked to sudden death.  We present a case of anomalous origin of RCA from left coronary sinus and aneurysm of aortic root. Our case demonstrates that when both coronary arteries` ostia are close to each other coronary arteries can be re-implanted on common area.  Firstly, this prevents distention and deformation of coronary arteries that might cause myocardial infarction. Secondly, it reduces time of placing anastomosis thus decreasing period of myocardial ischemia and cardiopulmonary bypass time.

scholarly journals Saphenous vein patch for correction of anomalous origin of the right coronary artery from the left main coronary artery

2017 ◽  
Vol 2017 (1) ◽  
pp. rjw221
Author(s):  
Obadah F. AlQuadan ◽  
Moaath M. AlSmady ◽  
Suhayl S. Saleh ◽  
Raed A. Aqel ◽  
Eman T. Al-Antary
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Saphenous Vein ◽  
Left Main Coronary Artery ◽  
Anomalous Origin ◽  
Left Main ◽  
The Right

Use of transesophageal echocardiography to visualize an anomalous right coronary artery arising from the left main coronary artery (single coronary artery)

1992 ◽  
Vol 15 (6) ◽  
pp. 462-465 ◽  
Author(s):  
Kenneth D. Henson ◽  
Edward A. Geiser ◽  
Jeanette Billett ◽  
James A. Alexander ◽  
E. William Akins ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Transesophageal Echocardiography ◽  
Right Coronary Artery ◽  
Left Main Coronary Artery ◽  
Single Coronary Artery ◽  
Left Main

Single coronary artery with anomalous origin of right coronary artery from left main stem

2009 ◽  
Vol 10 (9) ◽  
pp. 733-735 ◽  
Author(s):  
Enrica Mariano ◽  
Eugenio Martuscelli ◽  
Riccardo Morgagni ◽  
Francesco Romeo
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Main Stem ◽  
Anomalous Origin ◽  
Single Coronary Artery ◽  
Left Main ◽  
Left Main Stem
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