High take-off right coronary artery in a patient with tetralogy of Fallot

High take-off coronary artery anomaly is a quite rare anomaly which is usually seen in isolated form and diagnosed incidentally. Association with tetralogy of Fallot is also rare and it is not one of the well-known coronary anomalies seen in this disease. Here, we describe high take-off right coronary artery in a 10-month-old female patient with tetralogy of Fallot which was diagnosed during catheter angiography. It is very important to show this anomaly sometimes with additional imaging techniques as it alters all the surgical approach including aortic cannulation.

Takotsubo syndrome unmasking malignant coronary artery anomaly in a patient presenting with acute coronary syndrome: Expanding definitions of Takotsubo cardiomyopathy?

The simultaneous occurrence of Takotsubo syndrome, congenital coronary artery anomaly and severe coronary artery disease is a rare clinical triad. This case report highlights the intricacies of management of this ‘triple jeopardy’ scenario.

Single Coronary Artery Anomaly as a Different Ethiological Variant of Myocardial Ischemia

The single coronary artery is а rare congenital disorder, a subset of coronary artery anomalies. The clinical presentation varies from asymptomatic to malignant variants and is usually diagnosed during coronary angiography or post-mortem examinations. It may or may not be associated with another congenital heart disease. During the three years period and based on clinical indications, we performed selective coronary angiography of 7,996 patients. We discovered five clinical cases of a single coronary artery, which complies with the frequency of this anomaly 0.06% of the study population. All five clinical cases had moderate left ventricular systolic dysfunction and four of them had sinus rhythm disturbances – supraventricular cardiac arrhythmias or sinus tachycardia. Anomalous coronary anatomy may result in insufficient flow delivery even without coronary obstruction. It is important to specify the course of the ectopic artery. Cardiac ischemia could explain left ventricular systolic dysfunction and rhythm disorders. Significant coronary artery disease had three of them. The main goals of this research are to detect the frequency of single coronary artery anomaly among studied population, to illustrate the variety of clinical presentation of this disorder, related to anatomical variants of the anomaly, and to choose the most appropriate treatment decision, based on the present experience.

Single Coronary Artery, a Coronary Anatomy Anomaly

Coronary artery anomaly and variation is a group of congenital abnormality of the coronary artery with a wide variety of clinical manifestations. The cases are rare and usually found incidentally, but they become interesting because they are the second most causes for sudden cardiac death (SCD) in young adults participating in competitive sports. The number of cases of coronary artery anomaly is starting to rise as the number of cases undergoing invasive and non-invasive diagnosis procedure. Single coronary artery is a very rare congenital anomaly where there is only one coronary ostium to supply the whole heart. This anomaly usually occurs with other congenital anomaly. The symptoms may be unspecific from asymptomatic until SCD. This case report discusses about a patient with single coronary artery, its clinical approach, and the treatment options.