Congenital origin of the left main coronary artery from the innominate artery in a 37‐year‐old man with syncope and right ventricular dysplasia

Santucci, Peter; Brėdikis, Audrius Jurgis; Kavinsky, Clifford J.; Klein, Lloyd W.

doi:10.1002/ccd.1086

Cited by 14 publications

(10 citation statements)

References 12 publications

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“…The right coronary artery (more frequently) and the left coronary (or superior interventricular and the circumflex arteries separately) may originate from the ascending aorta up to the level of the brachiocephalic trunk. The left coronary artery from this location travels the left anterior aspect of the ascending aorta eventually gaining its normal anatomical position and bifurcating in a typical fashion (Santucci et al, ; Duran et al, ). The usual location for the left coronary artery is on the left anterior aspect of the ascending aorta.…”

Section: Discussionmentioning

confidence: 99%

The clinical anatomy of high take‐off coronary arteries

et al. 2015

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A number of criteria are used in the literature to describe high take-off coronary arteries, which can in part, explain the divide in the literature on the pathological significance of this anomaly. This study presents the anatomical variations of high take-off coronary arteries to draw attention to the possible clinical implications they may cause during angiography and other surgical procedures. The English Literature was searched to review high take-off coronary arteries. A high take-off coronary artery arising at least 1 cm in adults or 20% the depth of the sinus in children above the sinutubular junction, is considered of greater clinical relevance and was included in our meta-analysis. High take-off coronaries by other criteria was also included as part of the comprehensive review. Exclusion criteria were reports made in case studies or case reviews. The prevalence of high take-off coronary arteries in our study was 26 of 12,899 (0.202%). High take-off coronary arteries were found to originate up to 5 cm above the sinutubular junction. Right coronary arteries made up 84.46% of high take-off coronary arteries reported in the literature. Three (0.023%) cases that originated more than one centimeter above the sinutubular junction was associated with sudden cardiac death. This is a higher reported association than in studies that used other criteria for classification. It is important for clinicians to recognize the importance of correctly diagnosing high take-off coronary arteries in patients with coexisting cardiac morbidities so that suitable management plans can be developed.

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Section: Discussionmentioning

confidence: 99%

The clinical anatomy of high take‐off coronary arteries

et al. 2015

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“…We think this type of anomaly is benign. However, the origin of the coronary artery arising from the innominate artery can be the cause of syncope [ 7 ] or chest pain in adults [ 8 - 9 ]. The origin of the right coronary artery from the descending thoracic aorta may be associated with atypical and striking elastotic changes and the thickening of the wall of the coronary artery as the underlying pathogenesis of severe consequences [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Anomalous Origin of Coronary Arteries Arising from the Right Coronary Cusp: A Rare Presentation

Ali¹,

Tahir²,

Shakhatreh³

et al. 2018

Cureus

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The anomalous origin of coronaries is rare. The purpose of this case report is to show a rare anomalous origin of coronaries.A 64-year-old female presented with chest pain that was typical in nature. The patient had left heart catheterization that showed an anomalous origin of coronaries, where all the coronaries were arising from the right coronary cusp. The patient had a significant disease in the distal left anterior descending artery, but it was a small vessel. Medical management was chosen.This is a rare presentation of the coronary anatomy.

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“…Exceedingly rare anomaly, most cases have involved origin of the coronary artery from the wall of the ascending aorta or brachiocephalic trunk (Santucci et al, 2001), although care must be taken to exclude cases of hypoplastic left heart syndrome with aortic atresia, which on occasion has been described in terms of anomalous origin of the coronary arteries from the brachiocephalic trunk. The anterior interventricular artery has also been reported Fig.…”

Section: Ectopic Origin Of the Coronary Arteriesmentioning

confidence: 99%

The normal and abnormal anatomy of the coronary arteries

et al. 2008

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Beneficial therapeutic options are increasingly available for coronary arterial disease. To take full advantage of these options, those performing the interventions require a thorough knowledge of the normal arrangement, and likely anatomic variations, of the coronary arterial system. A comprehensive appreciation of the architecture of the coronary arterial system, therefore, is crucial to optimal cardiac care. Simple attention to potential variations in the origin and course of the major coronary arteries can greatly enhance clinical outcomes. The objective of this review, therefore, is to describe the normal anatomical distribution of the coronary arteries in the human heart, and to list the most common arterial variations.

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Congenital origin of the left main coronary artery from the innominate artery in a 37‐year‐old man with syncope and right ventricular dysplasia

Cited by 14 publications

References 12 publications

The clinical anatomy of high take‐off coronary arteries

The clinical anatomy of high take‐off coronary arteries

Anomalous Origin of Coronary Arteries Arising from the Right Coronary Cusp: A Rare Presentation

The normal and abnormal anatomy of the coronary arteries

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