Single coronary artery originating from right sinus. Role of MDCT and a review of literature

Pergola, Valeria; Cabrelle, Giulio; Barbiero, Giulio; Dellino, Carlo Maria; Reffo, Elena; Salvo, Giovanni Di; Motta, Raffaella

doi:10.4081/monaldi.2021.1915

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…It is unusual for a single coronary artery to originate from the right coronary sinus. Similar cases were described by Özyurtlu et al and Pergola et al, and studies show that they comprised 3.3% of all coronary anomalies [27,28].…”

Section: Discussionsupporting

confidence: 85%

Investigation of the Frequency of Coronary Artery Anomalies in MDCT Coronary Angiography and Comparison of Atherosclerotic Involvement between Anomaly Types

Şahin

Ilgar

2022

Tomography

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Coronary artery anomalies (CAAs) are rare anatomical variations characterized by abnormal origin, course, or termination of the coronary arteries. This study aims to identify incidental CAAs in patients who underwent multidetector computed tomography coronary angiography (MDCTCA) to determine their incidence and to evaluate whether there is a difference between CAA types in terms of coronary atherosclerotic involvement. For this purpose, patients who underwent MDCTCA between December 2018 and January 2022 were retrospectively assessed. Of the 5200 MDCTCAs analyzed, CAAs were detected in 136 patients (2.61%). Of these 136 patients, 37 (27.2%) patients had an origin anomaly, 97 (71.3%) had a course anomaly, and 2 (1.5%) had a termination anomaly. There was no statistically significant difference between CAA types in terms of atherosclerotic involvement (p = 0.220). However, atherosclerotic involvement was high in vessels with anomalies when normal vessels with and without anomalies were compared (p = 0.005). Accurate detection of CAAs is vital for endovascular treatment or surgical intervention. MDCTCA is helpful both in the diagnosis of CAA and in the early detection and development of prevention strategies for coronary atherosclerosis.

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Section: Discussionsupporting

confidence: 85%

Investigation of the Frequency of Coronary Artery Anomalies in MDCT Coronary Angiography and Comparison of Atherosclerotic Involvement between Anomaly Types

Şahin

Ilgar

2022

Tomography

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“…Furthermore, the gothic aortic arch anomaly can influence ventricular–vascular interactions, particularly regarding ventricular load and contractility. [ 7 ] These changes may be related to the LVNC trigger as a contributing factor.…”

Section: Discussionmentioning

confidence: 99%

Severe Regurgitant Bicuspid Aortic Valve in a Patient with Overlapping Left Ventricular Noncompaction and Asymmetrical Septal Hypertrophy

Inoue,

Satsu,

Kitayama

2024

Journal of Cardiovascular Echography

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Overlapping of left ventricular noncompaction (LVNC) and hypertrophic cardiomyopathy in the same patient is rare and is associated with a more severe clinical course and unfavorable prognosis. The present report describes the case of a severely regurgitant bicuspid aortic valve in a 68-year-old man with overlapping LVNC and asymmetrical septal hypertrophy. Aortic valve replacement controlled the left ventricular dilatation that occurred secondary to the volume overload induced by the valvular disease. However, even 3 years postoperatively, severe systolic dysfunction persisted due to the preexisting myocardial disease, requiring close and lifelong follow-up with special attention to life-threatening arrhythmias and thromboembolism.

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“…Desmet et al [ 24 ] reported that the first case of single coronary artery was described in 1716 by Thebesius. About 45 cases of single coronary artery had been documented until 1950 [ 26 ]. In 1979, it was presented very useful classification of anomalies which includes single coronary arteries [ 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…Pergola et al described two similar cases. Both patients reported epigastric pain with nausea, vomiting, vertigo, and weakness [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

A Single Coronary Artery Originating from the Right Coronary Sinus with a Typical Course of the Right Coronary Artery and the Interarterial Course of the Left Main, Left Anterior Descending, and Left Circumflex as an Example of a Rare Case of High-Risk Coronary Anomaly

2022

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In the typical course of the coronary arteries, the right coronary artery comes from the right coronary sinus and descends in the right atrioventricular groove. The left coronary artery trunk begins from the left coronary sinus. It crosses the pulmonary trunk and divides into left anterior descending and left circumflex arteries. Anatomical differences of the coronary arteries can be observed in 0.3–5.6% of the population. The interarterial course of coronary branches between the aorta and the pulmonary trunk is a malignant anomaly of the coronary arteries. Such abnormalities have been associated with an increased risk of sudden cardiac death. We present a rare case of coronary arteries anomaly involving the presence of a single right coronary artery and the interarterial course of its atypical branches documented by computed tomography angiography (CTA). In summary, the accurate assessment of the anatomical topography of coronary anomalies, possible in CTA, is necessary in the analysis of the risk of sudden cardiac death and its prevention.

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Single coronary artery originating from right sinus. Role of MDCT and a review of literature

Cited by 4 publications

References 10 publications

Investigation of the Frequency of Coronary Artery Anomalies in MDCT Coronary Angiography and Comparison of Atherosclerotic Involvement between Anomaly Types

Investigation of the Frequency of Coronary Artery Anomalies in MDCT Coronary Angiography and Comparison of Atherosclerotic Involvement between Anomaly Types

Severe Regurgitant Bicuspid Aortic Valve in a Patient with Overlapping Left Ventricular Noncompaction and Asymmetrical Septal Hypertrophy

A Single Coronary Artery Originating from the Right Coronary Sinus with a Typical Course of the Right Coronary Artery and the Interarterial Course of the Left Main, Left Anterior Descending, and Left Circumflex as an Example of a Rare Case of High-Risk Coronary Anomaly

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