Anomalous Origin of the Left Coronary Artery from the Right Sinus of Valsalva, which Presented as Acute Myocardial Infarction

Cho, Hyun-O; Cho, Kil-Hyun; Jeong, Yong-Suk; Ahn, Sung Gyun; Choi, Sangchun; Yoo, Jae-Yeon; Kim, Eun-Jung

doi:10.4070/kcj.2006.36.12.817

Cited by 7 publications

(10 citation statements)

References 11 publications

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“…In particular, incidence of a left coronary anomaly that originates from RCA has been reported to be very rare (0.016% incidence) 7). In Korea, a few cases of left coronary anomaly were reported, and most of them were left coronary artery that originated from the right coronary sinus 8,10). Unlike the previous cases, the present case showed a single origin of coronary artery from the right coronary sinus of valsalva with communication between RCA and LAD coronary artery via the right ventricular branch.…”

Section: Discussionmentioning

confidence: 99%

Successful Primary Percutaneous Coronary Intervention in a Patient With Acute Myocardial Infarction and Single Coronary Artery Ostium

et al. 2012

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One of the single anomalous origins of coronary artery that has rarely been reported is a congenital anomaly of coronary circulation that occurs in the left coronary artery originating from the right coronary sinus of valsalva. We report a 49-year-old male patient with non-ST segment elevated myocardial infarction that was identified to have an anomalous origin of the left coronary artery from the right coronary artery (RCA) with thrombotic total occlusion of RCA by coronary angiography and cardiac computed tomography. The patient underwent successful percutaneous coronary intervention in total occlusion of the RCA and was discharged after uneventful recovery.

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Section: Discussionmentioning

confidence: 99%

Successful Primary Percutaneous Coronary Intervention in a Patient With Acute Myocardial Infarction and Single Coronary Artery Ostium

et al. 2012

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“…9 Second, and more importantly, wrong sinus coronary artery anomalies are revascularization can be either surgical or percutaneous. 6 involves aortocoronary bypass, ostial reimplantation or the unroofing technique, which frees the intramural segment of the CAA by means of an incision in the wall shared by the CAA and the aorta, thus creating a new, larger orifice in the appropriate. There is a great deal of controversy concerning surgical revascularization in these patients, especially in young people.…”

Section: Vol 41 No 3 2018mentioning

confidence: 99%

Anomaly of left coronary artery

Hasye¹,

Karani

2018

Maj Kedokt Andalas

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Anomalies of the coronary artery are uncommon, with a reported incidence of 0.3% to 1.3% in the coronary angiography studies routinely performed for suspected atherosclerotic coronary disease. There were 0.92% incidence of anomalous origination of the right coronary artery from the left sinus and the 0.15% incidence of anomalous origination of the left coronary artery from the right sinus. Most coronary artery anomalies are diagnosed by invasive angiography performed to investigate suspected atherosclerotic coronary disease. There are two important managements for patient with anomaly coronary artery. First, these coronary anomalies should result in exclusion from participation in intense competitive sports to reduce the risk of a cardiac event or sudden death. Second, and more importantly, treatment for wrong sinus coronary artery anomalies are revascularization can be either surgical or percutaneous. Surgical intervention should be considered for high-risk varieties of anomalous coronary arteries, as this is the only treatment that has been demonstrated to improve coronary blood flow and carries a low morbidity and mortality.

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“…The most frequent categorical method is that of the ectopic origin site, which involves ectopic origin of coronary artery from, 1) the aorta, either from a wrong sinus or beyond the sinuses; 2) the pulmonary artery; 3) as a branch of another coronary artery; 4) other arteries; and 5) the ventricular chamber ( Table 1 ). Ectopic aortic origin is the most common type, of which an anomalous origin from a wrong sinus of Valsalva predominates ( Figures 1 - 3 ) [ 17 , 18 ] .…”

Section: Definitionsmentioning

confidence: 99%

“…Anomalous origin of coronary artery can sometimes be associated with acquired heart disease including coronary artery disease or heart valve disorders. Acute myocardial infarction has been reported in a patient with anomalous origin of coronary artery with diffuse coronary stenotic lesions [ 18 ] . Kalyani et al [ 34 ] discovered well-formed atherosclerotic plaques in both the aorta and coronary artery by autopsy in a young male with anomalous origin of RCA as a branch of the LCx.…”

Section: Definitionsmentioning

confidence: 99%

“…On aortography, the LAD, LCx and RCA were seen to arise separately from the right coronary sinus and there was a diffuse stenotic lesion in the distal LCx. He was successfully treated with coronary stenting [ 18 ] . Coronary artery disease of the RCA in the normal location with two consecutive 95% stenosis in the proximal section was once reported in a patient with anomalous origin of LM from the innominate artery [ 37 ] .…”

Section: Definitionsmentioning

confidence: 99%

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Anomalous origin of coronary artery: taxonomy and clinical implication

Yuan¹

2014

Revista Brasileira De Cirurgia Cardiovascular

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ObjectiveAnomalous origin of coronary artery is uncommon. The taxonomies of anomalous origin of coronary artery are inconsistent and complex. Conceptual and therapeutic debates remain. The aim of the present study is to reappraise the concept of anomalous origin of coronary artery and to discuss the potential hazards and treatment rationale of this anomaly on basis of literature review.MethodsA comprehensive literature review was made in terms of the taxonomies including “simple”, “multiple” and “complex” types of anomalous origin of coronary artery.ResultsAnomalous origin of coronary artery can be simply categorized according to the ectopically originated coronary artery. There are a couple of complex anatomical variants: “multiple” type, involving more than one coronary artery or branch, which can be subdivided into 2 subtypes, A) more than one coronary arteries or branches arising from one place; and B) two coronary arteries/branches arising from separate ectopic sites; and “complex” type, associated with acquired heart disease, or congenital heart defects.ConclusionSudden cardiac death in anomalous origin of coronary artery is associated with the anatomical features including abnormal coursing, acute angle take-off and ostial abnormalities. Atherosclerosis is prone to be in the right-sided ectopic and retroaortic coursing coronary artery. Surgical treatment is a definitive therapy. Simple coronary artery bypass grafting is not recommended due to the potential hazards of coronary steal phenomenon and poor patency of mammary arterial grafts, and modified maneuvers such as coronary ostial reimplantation, impinged coronary segment unroofing and coronary stent deployment are advocated instead.

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Anomalous Origin of the Left Coronary Artery from the Right Sinus of Valsalva, which Presented as Acute Myocardial Infarction

Cited by 7 publications

References 11 publications

Successful Primary Percutaneous Coronary Intervention in a Patient With Acute Myocardial Infarction and Single Coronary Artery Ostium

Successful Primary Percutaneous Coronary Intervention in a Patient With Acute Myocardial Infarction and Single Coronary Artery Ostium

Anomaly of left coronary artery

Anomalous origin of coronary artery: taxonomy and clinical implication

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