scholarly journals Variations of origin of coronary artery and their importance

2015 ◽  
Vol 32 (01) ◽  
pp. 001-007 ◽  
Author(s):  
M. D'Souza ◽  
B. Ray ◽  
A. Saxena ◽  
P. Rastogi ◽  
A. D'Souza ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Causative Factor ◽  
Morphometric Study ◽  
Anatomical Structures ◽  
Additional Information ◽  
Vital Component ◽  
Coronary Ostia ◽  
The Right ◽  
Anomalous Coronary ◽  
Formalin Fixed

Abstract Introduction: Incidence of anomalous coronary arteries is rare and has been recognized as the causative factor for myocardial ischemia and sudden death. Knowledge about the variations of coronary arterial origin and its course provide a valuable guide to Cardiothoracic Surgeons and Physicians and be useful for producing devices appropriate for variant anatomical structures. The aim of the study was to investigate the number and position of the coronary ostia, emphasizing their possible clinical implications. Methods: Fifty one formalin fixed adult heart specimens were dissected to conduct a morphometric study on coronary ostia and establish their relation with respective aortic sinuses. In addition, branching pattern of the right coronary artery and its dominance were documented. Results: Variations in number and position of ostia in both sinuses were noted. Of the 96 ostia analyzed in the present study, 64.5% were located below the intercommissural line, 11.4% above it and 18.7% at its level. Mean diameter of right and left ostia was measured as 3.03mm and 2.9mm respectively. Mean distance of right and left ostia from their respective sinuses was found to be 15.14mm and 14.20mm respectively. Conclusion: Knowledge of normal and variant anatomy of coronary circulation is a vital component in diagnoses of congenital and acquired cardiac diseases. This study will provide additional information about variations of coronary artery to clinicians and manufacturers to plan their approach for safer and successful treatment.

Bicuspid aortic valve and anomalous right coronary artery from the opposite coronary sinus

2021 ◽  
pp. 1-3
Author(s):  
Giuliano Giusti ◽  
Mariantonia Villano ◽  
Marco Pozzi
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Right Coronary Artery ◽  
Anomalous Coronary Artery ◽  
Sinus Of Valsalva ◽  
Intravascular Ultrasonography ◽  
Large Observational Study ◽  
The Right ◽  
Anomalous Coronary

Abstract We report on a patient with bicuspid aortic valve and anomalous right coronary artery from the opposite sinus without evidence of intramural course. Different authors support the universal presence of intramural course in patients with origin of the right coronary artery from the opposite sinus of Valsalva in normal heart. The occurrence of both bicuspid aortic valve and the absence of intramural course may not be accidental. This might suggest a developmental interaction between bicuspid aortic valve and anomalous coronary artery. Large observational study including characterisation by intravascular ultrasonography in patients with bicuspid aortic valve and anomalous coronary is needed.

Life-saving myocarditis? A case in a young adult leading to discovery of an anomalous origin of the right coronary artery

2020 ◽  
Vol 30 (10) ◽  
pp. 1510-1511
Author(s):  
Rachel Rosenthal ◽  
Hannah Obasi ◽  
Daniel D. Im
Keyword(s):  
Chest Pain ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Cardiac Death ◽  
Anomalous Origin ◽  
Coronary Artery Anomalies ◽  
Life Saving ◽  
Life Threatening ◽  
The Right ◽  
Anomalous Coronary

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.

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 Successful Rotational Atherectomy for an Angulated Calcified Lesion in an Anomalous Right Coronary Artery Using the “Mother-and-Child” Technique

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Manabu Ogita ◽  
Satoru Suwa ◽  
Taketo Sonoda ◽  
Shuta Tsuboi ◽  
Katsumi Miyauchi ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Intervention ◽  
Rotational Atherectomy ◽  
Stent Expansion ◽  
Calcified Lesion ◽  
Percutaneous Coronary ◽  
Mother And Child ◽  
The Right ◽  
Anomalous Coronary

Percutaneous coronary intervention (PCI) involving the anomalous coronary artery is challenging with respect to difficulty in achieving stable catheterization. Rotational atherectomy (RA) can facilitate severely calcified lesions to improve stent delivery and stent expansion; however, its utility in tortuous and angulated coronary arteries is limited with difficulty in delivery of the RA burr. The mother-and-child technique is effective for complex PCIs with increased backup force for device delivery in such complicated cases. We report a case of successful rotational atherectomy using the “mother-and-child” technique with a Dio thrombus aspiration catheter for an angulated calcified lesion in an anomalous origin of the right coronary artery.

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.

Surgical repair of naturally palliated anomalous origin of the left coronary artery from the right pulmonary artery

2001 ◽  
Vol 11 (5) ◽  
pp. 568-570 ◽  
Author(s):  
Alessandro Giardini ◽  
Gaetano Gargiulo ◽  
Fernando M. Picchio
Keyword(s):  
Coronary Artery ◽  
Left Coronary Artery ◽  
Surgical Repair ◽  
Asymptomatic Patient ◽  
Pulmonary Arteries ◽  
Anomalous Origin ◽  
Right Pulmonary Artery ◽  
Life Threatening ◽  
The Right ◽  
Anomalous Coronary

Anomalous origin of the left coronary artery from the pulmonary arteries is a rare and life-threatening defect, usually needing prompt surgical correction during infancy. We describe the case of a young asymptomatic patient with this defect who underwent surgical reimplantation despite the absence of signs of myocardial ischemia, due to the presence of proximal stenosis of the anomalous coronary artery.

The coronary arteries and cardiac veins

2019 ◽  
pp. 175-186
Keyword(s):  
Coronary Artery ◽  
Coronary Arteries ◽  
Right Coronary Artery ◽  
Coronary Sinus ◽  
Left Coronary Artery ◽  
Venous System ◽  
Cardiac Veins ◽  
Coronary Ostia ◽  
The Right

This chapter describes the anatomy of the coronary arteries and cardiac veins. It covers the coronary ostia and left coronary artery, the right coronary artery, the cardiac venous system, and the coronary sinus and its tributaries.

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