Single coronary artery from the right sinus of Valsalva
نویسندگان
چکیده
We describe a case of a single coronary artery originating from the right coronary sinus and bifurcating into the left coronary artery (LCA) and right coronary artery (RCA) in a 74-year old woman, with a non-ST elevation acute myocardial infarction (NSTEMI). Diagnosis was made by coronary angiography which ruled out stenosis, and showed normal LCA and RCA branching. The connection path of LCA, with the opposite cusp, was defined retroaortic by multislice computed tomography (CT). The variants of this coronary anomaly, together with their clinical implications and pathophysiology of acute myocardial infarction (AMI) are discussed. Multislice CT is fundamental for clinical decision making.
منابع مشابه
پارگی آنوریسم سینوس والسالوا چپ به شریان پولمونر اصلی: یک مورد بسیار نادر
Sinus of valsalva aneurysm, is a rare congenital defect and the diagnosis is usually made after it ruptures. The anomaly often involves the right coronary sinus and is less frequent in the noncoronary sinus. The rupture of the left sinus of valsalva into the pulmonary artery is extremely rare. So far, few cases with ruptured left sinus of valsalva have been reported. We are reporting a ruptur...
متن کاملA Rare Coronary Artery Anomaly: Single Coronary Artery Originate From Right Sinus Valsalva R-IIP Sub-Group Type
We reported a single coronary artery case that in the R-IIP sub-group which is a rare sub-group comparing with other sub-groups of single coronary artery originating from right sinus valsalva.
متن کاملCoronary angioplasty for in-stent restenosis in patient with anomalous single coronary artery arising from right sinus valsalva
Single coronary artery is a coincidental finding during coronary angiography or at autopsy. Although it is a rare condition and most of time has an asymptomatic clinic; prognosis varies. We would like to report a case about percutaneous coronary intervention in a patient who has anomalous single coronary artery arising from right sinus valsalva.
متن کاملSingle coronary artery originating from the right sinus Valsalva and ability to work
We present a case of a 56-year-old male electrician who was admitted to the hospital with atrial fibrillation, atypical chest pain and dyspnea. He gave a history that on the morning he had working for almost 4 hours carrying out various activities with considerable physical effort. After cardioversion, conventional coronary angiography revealed a suspect of single coronary vessel (SCA) arising ...
متن کاملClinical Implications of Congenital Absence of Circumflex Coronary Artery
Introduction: Coronary artery anomalies are rare clinical entities reported in 0.6% to 5.6% of diagnostic coronary angiographies. Anomalous origins of coronary arteries from distal segments are rarely reported. Presented herein is a coronary anomaly in which the circumflex artery (CX) originated as a continuation of the posterolateral branch of the right coronary artery (RCA) w...
متن کاملPercutaneous coronary intervention of a single coronary artery arising from the right sinus of Valsalva
Anomalous origin of the left main coronary artery from the right sinus of Valsalva is extremely rare when not associated with other congenital cardiac anomalies. In this report we present a patient with a single coronary ostium, with both the left and right coronary artery systems arising from it. The right coronary artery was found to contain a significant flow-limiting lesion that was success...
متن کامل