Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
권호 표지

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

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

  • Published : 20060000
⟨ Previous Next ⟩

Abstract

Among all the congenital coronary anomalies, an anomalous origin of the left coronary artery (LCA) from the right sinus of Valsalva is rare. A 48-year-old male patient suffering with lateral acute myocardial infarction was referred for primary percutaneous coronary intervention. The initial angiogram failed to show the LCA, which originated from the right coronary sinus. A critical stenotic lesion was observed in the distal left circumflex artery. The lesion was treated successfully with stenting. We report here on a case of an anomalous origin of the left coronary artery from the right sinus of Valsalva, and the patient presented as acute myocardial infarction. He was successfully treated with primary percutaneous intervention.

Keywords

References

  1. Kardos A, Babai L, Rudas L, et al. Epidemiology of congenital coronary anomalies: a coronary arteriography study on a central European population. Cathet Cardiovasc Diagn 1997;42:270-5 https://doi.org/10.1002/(SICI)1097-0304(199711)42:3<270::AID-CCD8>3.0.CO;2-9
  2. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990;21:28-40 https://doi.org/10.1002/ccd.1810210110
  3. Moreno R, Ramirez CB, Garcia J, Macaya C. Primary stenting of an anomalous left main trunk originating from the right coronary artery during acute myocardial infarction. J Invasive Cardiol 2004;16:159-61
  4. Yang DG, Cha KS, Kim BG, et al. Anomalous origin of the left main coronary artery from the rigth sinus of valsalva. Korean Circ J 2000; 30; 1165-9 https://doi.org/10.4070/kcj.2000.30.9.1165
  5. Serota H, Barth CW 3rd, Seuc CA, et al. Rapid identification of the course of anomalous coronary arteries in adults: the 'dot and eye' method. Am J Cardiol 1990;65:891-8 https://doi.org/10.1016/0002-9149(90)91432-6
  6. Cheitlin MD, de Carstro CM, McAllister HA. Sudden death as comlication of anomalous left coronary origin from the anterior sinus of valsalva: a not-so-minor congenital anomaly. Circulation 1974;50:780-7 https://doi.org/10.1161/01.CIR.50.4.780
  7. Ishikawa T, Brandt PW. Anomalous origin of the left main coronary artery from the right anterior aortic sinus: angiographic identification of anomalous course. Am J Cardiol 1985;55:770-6 https://doi.org/10.1016/0002-9149(85)90154-7
  8. Harikrishnan S, Sonney PJ, Jaganmohan T, et al. Congenital coronary anomalies of origin and distribution in adults: a coronary arteriographic study. Indian Heart J 2002;54:271-5
  9. Wilkins CE, Betancourt B, Mathur VS, et al. Coronary artery anomalies. Texas Heart J 1988;15:166-73
  10. Choi YM. Congenital anomalies of the coronary arteries detected in adulthood. Korean Circ J 1997;27:287-95 https://doi.org/10.4070/kcj.1997.27.3.287
  11. Mustafa I, Gula G, Radley-Smith R, Durrer S, Yacoub M. Anomalous origin of the left coronary artery from the anterior aortic sinus: a potential cause of sudden death. J Thorac Cardiovasc Surg 1981;82:297-300
  12. Benge W, Martins JB, Funk DC. Morbidity associated with anomalous origin of the right coronary artery from the left sinus of valsalva. Am Heart J 1980;99:96-100 https://doi.org/10.1016/0002-8703(80)90319-1
  13. Angelini P, Velasco JA, Flamm S. Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation 2002;105: 2449-54 https://doi.org/10.1161/01.CIR.0000016175.49835.57
  14. Angelini P. Coronary artery anomalies: current clinical issues. Texas Heart Inst J 2002;29:271-8
  15. Virmani R, Burke AP, Farb A. The pathology of sudden cardiac death in athletes. In: Williams RA, editor. The Athlete and Heart Disease: diagnosis, evaluation and management. Philadelphia: Lipincott Williams & Wilkins; 1999. p.249-72
  16. Roberts WC, Shirani J. The four subtypes of anomalous origin of the left main coronary artery from the right aortic sinus(or from the right coronary artery). Am J Cardiol 1992;70:119-21 https://doi.org/10.1016/0002-9149(92)91406-T