2014
DOI: 10.4103/1995-705x.137510
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A case of anomalous origin of circumflex artery from right sinus of valsalva recognized by three-dimensional transesophageal echocardiography and coronary computed tomography angiography

Abstract: Anomalous origin of the circumflex coronary artery from the right sinus of Valsalva is the most common coronary anomaly. It is thought to be of no clinical relevance unless cardiac surgery is performed. We report a 53-year-old patient with aberrant circumflex coronary artery origin from the right aortic sinus of Valsalva which was first suspected from transthoracic 2D and transesophageal 3D echocardiographic views and confirmed by coronary CT angiography. The patient did not receive further diagnostic or thera… Show more

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Cited by 5 publications
(2 citation statements)
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References 9 publications
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“…Another describes SCD in a patient who was subsequently found to have no evidence of obstructive atherosclerosis but did have an anomalous LCx artery branching from the right sinus of Valsalva [ 14 ]. Others describe the variant as an incidental finding after undergoing angiography for another indication [ 4 , 15 , 16 ]. Although individual case reports have indicated adverse events, large-scale studies examining this variant did not report an increased incidence of SCD, angina, atherosclerosis, or myocardial infarction, and all have described it as benign [ 7 , 9 , 17 ].…”
Section: Discussionmentioning
confidence: 99%
“…Another describes SCD in a patient who was subsequently found to have no evidence of obstructive atherosclerosis but did have an anomalous LCx artery branching from the right sinus of Valsalva [ 14 ]. Others describe the variant as an incidental finding after undergoing angiography for another indication [ 4 , 15 , 16 ]. Although individual case reports have indicated adverse events, large-scale studies examining this variant did not report an increased incidence of SCD, angina, atherosclerosis, or myocardial infarction, and all have described it as benign [ 7 , 9 , 17 ].…”
Section: Discussionmentioning
confidence: 99%
“…16 Even if three-dimensional transesophageal echocardiography can be useful in the visualization of anomalous coronary arteries before operation, it is not a routine tool for the diagnosis of CAAs. 17 Coronary CTA and magnetic resonance angiography (MRA) are the imaging modalities with a Class I recommendation for the visualization of CAAs. 5,6 When comparing these two modalities, cardiac CTA is superior for imaging CAAs due to higher spatial and temporal resolution, better visualization of the surrounding structures, and lower cost.…”
Section: Diagnosis Of Caasmentioning
confidence: 99%