Anomalous origin of the left coronary artery from the right sinus of valsalva: 78-year-old patient with anterior free wall course and atherosclerotic lesions
Sol koroner arterin sağ sinüs valsalva'dan çıktığı anomali: Ön serbest duvar seyirli ve aterosklerotik lezyonları olan 78 yaşındaki bir olgu
We described a 78-year-old female patient with atherosclerotic lesions in the anomalous left main and anterior descending artery originating from the right sinus of Valsalva who admitted with post-infarction effort angina.
📌 3 Key Takeaways
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Objective & Hypothesis:Although the left coronary artery originating from the right sinus of Valsalva is a rare anomaly, sudden death or myocardial ischemia may be observed in relation with this anomaly.
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Key Findings & Data:Although the left coronary artery originating from the right sinus of Valsalva is a rare anomaly, sudden death or myocardial ischemia may be observed in relation with this anomaly.
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Conclusion & Impact:We described a 78-year-old female patient with atherosclerotic lesions in the anomalous left main and anterior descending artery originating from the right sinus of Valsalva who admitted with post-infarction effort angina.
Although the left coronary artery originating from the right sinus of Valsalva is a rare anomaly, sudden death or myocardial ischemia may be observed in relation with this anomaly. We described a 78-year-old female patient with atherosclerotic lesions in the anomalous left main and anterior descending artery originating from the right sinus of Valsalva who admitted with post-infarction effort angina.
Özet
Sol koroner arterin sağ sinüs Valsalva'dan çıkması nadir bir anomali olmasına karşın, bu anomali ile birlikte ani ölüm veya miyokardiyal iskemi görülebilmektedir. Bu yazıda sağ sinüs Valsalva'dan çıkan sol ana ve ön inen damarında aterosklerotik lezyonları olan ve enfarktüs sonrası efor anjinası ile başvuran 78 yaşında bir kadın hasta sunulmuştur
DURU, E., ÖZDEMİR, Ö., ŞAŞMAZ, H., ARAS, D., BIYIKOĞLU, Ş. F., SOYLU, M. (2005). Anomalous origin of the left coronary artery from the right sinus of valsalva: 78-year-old patient with anterior free wall course and atherosclerotic lesions. MN Kardiyoloji, Cilt: 12 - Sayı: 1, 50–52. https://ajindex.com/articles/297589
Yamanaka O, Hobbs RE. Coronary artery anomalies in 3,595 patients undergoing coronary arteriography. Cathet rdiovasc Diagn 1990; 21:28-40.
Barth CW, Roberts WC. Left main coronary artery originating m the right sinus of valsalva and coursing between the aorta d pulmonary trunk. J Am Coll Cardiol 1986; 7:366-73.
Chaltman BR, Lesperance JJ, Saltiel J, Bourassa MG. nical, angiographic and hemodynamic findings in patients with omalous origin of the coronary arteries. Circulation 1976;: 122-31. Benson PA. Anomalous origin of coronary artery with sudden death: case report and review. Am Heart J 1970; 79:254-7.
Cheitlin MD, DeCastro CM, McAllister HA. Sudden death as a complication of anomalous left coronary origin from the anterior sinus of Valsalva. A not-so-minor congenital anomaly. Circulation 1974; 50:780-7.
Roberts WC, Shirani J. The four types of anomalous origin of the left main coronary artery from the right aortic sinus. Am J Cardiol 1992; 70:119-21.
Ishikawa T, Brandt PWT. Anomalous origin of the left main coronary artery from the right anterior aortic sinus: Angiographic definition of anomalous course. Am J Cardiol 1985; 55:770-6.
Roberts WC, Morrow AG. Compression of anomalous left circumflex artery by prosthetic valve fixation rings. J Thorac Cardiovasc Surg 1969; 57:834-8.
Taştan A, Kaya D, Bazlı C, İşgüzar E, Kozan Ö. Sol ana koroner arterin sağ sinüs Valsalvadan çıkış anomalisi. Van Tıp dergisi 1995; 2:200-1.
İyisoy A, Kurşaklıoğlu H, Barçın C, Köz C, Demirtaş E. Sağ sinüs Valsalva'dan çıkan sol ana koroner arter (Olgu sunumu). T Klin Kardiyoloji 2003; 16:107-9.
Polat K, Açıkgöz S, Diker E, Ömürlü K. Sol ön inen arter, sirkumflex arter ve sağ koroner arterin 3 ayrı ostium şeklinde sağ koroner sinüsden orijin aldığı nadir bir koroner arter anomalisi. MN Kardiyoloji 2001; 8:302-4.
Takenaka T, Horimoto M, Fujiwara M. Anomalous origin of the left anterior descending coronary artery from the right sinus of Valsalva associated with effort angina pectoris. Eur Heart J 1993; 14:129-31.