Conventional and computed tomography angiography views of a rare type of single coronary artery anomaly: right coronary artery arising from distal left circumflex artery

Author(s):  
Ugur Arslan ◽  
Murat Karamanlioglu ◽  
Ahmet Korkmaz

2015 ◽  
Vol 25 (6) ◽  
pp. 459-462 ◽  
Author(s):  
Arash Gholoobi ◽  
Hoorak Poorzand

A 43-year-old man presented with unstable angina. Coronary angiography revealed a single coronary artery originating from the left sinus of Valsalva, giving rise to a left main stem trifurcating to the left anterior descending artery, left circumflex artery, and an anomalous right coronary artery. The anomalous right coronary artery had a retroaortic course and significant proximal tubular stenosis which was stented. The coronary anomaly and abnormal course was confirmed by transesophageal echocardiography. The patient was symptom-free at one-year follow-up. This anomaly does not predispose to accelerated atherosclerosis, and the premature atherosclerosis in our patient was probably due an unhealthy lifestyle.



2015 ◽  
Vol 58 (1) ◽  
pp. 37 ◽  
Author(s):  
Jong Min Kim ◽  
Ok Jeong Lee ◽  
I-Seok Kang ◽  
June Huh ◽  
Jinyoung Song ◽  
...  


2013 ◽  
Vol 16 (2) ◽  
pp. 145-146
Author(s):  
Hekim Karapınar ◽  
Müntecep Aşker ◽  
İbrahim Gül ◽  
Zekeriya Küçükdurmaz


2018 ◽  
Vol 99 (3) ◽  
pp. 515-520
Author(s):  
M Dzh Sultanova

The study was performed to identify the features of coronary artery calcifications with the use of coronary computed tomography angiography in patients suffering from rheumatoid arthritis. In the study, calcifications were found in one vessel in 5 (8.3%) patients, in two vessels - in 24 (40%) subjects, in three vessels - in 28 (46.7%), and in four vessels - in 3 (5%) patients. 100% of patients were diagnosed with calcifications in the left descending artery, 90.2% - in left circumflex artery, 56.9% - in right coronary artery, 9.8% - in the root of left coronary artery, 92.2% of patients were diagnosed with calcifications of the aortic arch. The highest calcium score was registered in left circumflex artery (343.5±10.0 HU), and the lowest one - in right coronary artery (262.1±17.7 HU). The study results demonstrated correlation between the stage of rheumatoid arthritis and coronary calcification. In 77.8% of patients with stage I of the disease and in all patients with stage II, III and IV, calcifications of various size and localization were revealed in coronary arteries and aortic arch. Also, the relationship between duration of the disease and calcinosis extent was revealed. The obtained results indicate the importance of coronary computed tomography angiography for the diagnosis of coronary atherosclerosis in patients with rheumatoid arthritis due to high risk of cardiovascular complications in these patients.



Author(s):  
Bhavneet Singh ◽  
Rekha Gupta ◽  
Sreenivas Reddy

AbstractThe occurrence of super-dominant “single coronary artery” is an extremely rare and seldom reported phenomenon. The heart is dependent on a single vessel which makes its occlusion, if present, catastrophic. Here, the authors present an extremely rare combination of superdominant right coronary artery coexisting with absent left coronary artery and left circumflex artery with abnormal origin of left anterior descending artery from right coronary sinus. Precise morphological and physiological knowledge and evaluation of these anomalies is a must for opting the best available therapeutic modality and better prognosis.



Heart Views ◽  
2015 ◽  
Vol 16 (3) ◽  
pp. 104 ◽  
Author(s):  
Satyajit Singh ◽  
MahendraPrasad Tripathy ◽  
Giridhari Jena ◽  
SanatKumar Sahoo


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