Transseptal course of anomalous left main coronary artery originating from single right coronary orifice presenting as unstable angina

Glushko, Tetiana; Seifert, Richard; Brown, F.; Vigilance, Deon W.; Iriarte, Blanca; Teytelboym, Oleg M.

doi:10.1016/j.radcr.2018.02.009

Cited by 20 publications

(20 citation statements)

References 28 publications

(34 reference statements)

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“…The two patients with unstable angina were a 51-year-old male 9 and a 62-year-old female. 10 Both of these patients had angiographic evidence of clean coronary arteries. The patient who developed recurrent episodes of ventricular tachycardia was 42-years old, otherwise had normal coronary arteries, and had complete resolution of the tachycardia following coronary bypass grafting.…”

Section: Discussionmentioning

confidence: 94%

“…There are at least three case reports in older patients with an anomalous LMCA originating from a single coronary ostium who presented with either unstable angina or ventricular tachycardia. The two patients with unstable angina were a 51‐year‐old male and a 62‐year‐old female . Both of these patients had angiographic evidence of clean coronary arteries.…”

Section: Discussionmentioning

confidence: 99%

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Surgical treatment of anomalous left main coronary artery with an intraconal course

Mainwaring

Hanley

2019

Congenital Heart Disease

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Objective Anomalous left main coronary artery (LMCA) with an intraconal course is a relatively rare form of anomalous aortic origin of a coronary artery (AAOCA) from the wrong sinus of Valsalva. There is currently a paucity of information regarding this entity. The purpose of this article is to review our surgical experience with repair of anomalous LMCA with an intraconal course. Methods This was a retrospective review of 12 patients with an anomalous LMCA and an intraconal course who underwent surgical repair. The median age at surgery was 15 years (range 2‐47). The seven oldest patients all had preoperative symptoms of exertional chest pain and one also had exertional syncope. The five youngest patients had no preoperative symptoms. One of these patients had a hemodynamically significant ventricular septal defect and one patient was the sibling of a patient who had undergone repair of AAOCA. Results The 12 patients underwent surgical repair including unroofing of the myocardial bridge overlying the intraconal LMCA and a LeCompte procedure. There was no early or late mortality and there were no significant complications. All 12 patients have resumed normal, unrestricted activities. Conclusions Twelve patients with an anomalous LMCA and intraconal course presented to our institution for treatment. Surgical repair was performed successfully in all 12, with resolution of symptoms in the 7 patients who were symptomatic preoperatively. These results suggest that the surgical treatment is safe and efficacious in patients with an anomalous LMCA and intraconal course.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Surgical treatment of anomalous left main coronary artery with an intraconal course

Mainwaring

Hanley

2019

Congenital Heart Disease

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“…This technique can show the most lifethreatening features of the anomaly and has a high spatial resolution. Including this case, there are 6 cases of the right single coronary artery with a subsequent trans-septal course of the left main coronary artery reported in the literature [6].…”

Section: Discussionmentioning

confidence: 98%

“…Including this case, there are 6 cases of the right single coronary artery with a subsequent trans-septal course of the left main coronary artery reported in the literature [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

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Trans-septal course of anomalous left main coronary artery originating from single right coronary ostium presenting with atrial fibrillation in a severely obese patient: a case report

Cavallo

Muscogiuri²,

Forcina

et al. 2020

Egypt Heart J

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Background To present a case of anomalous origin of the left coronary artery evaluated with invasive coronary angiography (ICA) and ECG-gated coronary computed tomography (CCT). Case presentation A patient (55 years old, male) with a past medical history of respiratory failure and atrial fibrillation underwent ICA to rule out coronary artery disease. Subsequently, the patient underwent ECG-gated CCT to evaluate a suspected anomalous aortic origin of the left coronary artery, since the interventional cardiologist was not able to properly identify the left coronary artery and its distal branches. CCT showed left coronary artery originating from the right coronary Valsalva sinus, coursing within the interventricular septum and emerging at the middle segment of the interventricular sulcus, where the left anterior descending and circumflex arteries originated. Conclusion The case we presented highlights the value of ECG-gated CCT in the evaluation of coronary anomaly anatomy and thus risk stratification derived by proper coronary anatomy assessment. Although ICA was not helpful in the diagnosis, it also has a pivotal role regarding the therapeutic management of this condition.

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Anomalous Aortic Origin of a Coronary Artery: Clinical and Surgical Perspective

Marrone

Federici

2023

Ischemic Heart Disease

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Transseptal course of anomalous left main coronary artery originating from single right coronary orifice presenting as unstable angina

Cited by 20 publications

References 28 publications

Surgical treatment of anomalous left main coronary artery with an intraconal course

Surgical treatment of anomalous left main coronary artery with an intraconal course

Trans-septal course of anomalous left main coronary artery originating from single right coronary ostium presenting with atrial fibrillation in a severely obese patient: a case report

Anomalous Aortic Origin of a Coronary Artery: Clinical and Surgical Perspective

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