Advertisement
Heart, Lung and Circulation
Clinical Spotlight| Volume 24, ISSUE 8, e123-e126, August 2015

Percutaneous Coronary Intervention of an Anomalous Left Main Coronary Artery Arising from the Right Sinus of Valsalva

Published:March 25, 2015DOI:https://doi.org/10.1016/j.hlc.2015.03.003
      Anomalous origination of a coronary artery from the opposite sinus of Valsalva is an uncommon congenital anomaly. Intervention for concurrent coronary artery disease is challenging due to the location of the ostia, the takeoff of the vessel as well as the course of the artery in question. It is also important, where possible, to exclude a “malignant” course as the most common adverse outcome from this anomaly is that of sudden cardiac death. Here we present a case of percutaneous coronary intervention in a patient with anomalous left main origination from the right coronary sinus of Valsalva and a brief discussion on the subject.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Heart, Lung and Circulation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Shirani J.
        • Brofferio A.
        • WP W.
        • Talavera F.
        • Compton S.J.
        • Suleman A.
        • et al.
        Isolated Coronary Artery Anomalies.
        Medscape, 2014
        • Soon K.H.
        • Chaitowitz I.
        • Selvanayagam J.B.
        • Kelly A.M.
        • Zakhem B.
        • Nguyen M.
        • et al.
        Comparison of fluoroscopic coronary angiography and multi-slice coronary angiography in the characterization of anomalous coronary artery.
        International Journal of Cardiology. 2008; 130: 96-98
        • Angelini P.
        Coronary artery anomalies: an entity in search of an identity.
        Circulation. 2007; 115: 1296-1305
        • Eckart R.E.
        • Scoville S.L.
        • Campbell C.L.
        • Shry E.A.
        • Stajduhar K.C.
        • Potter R.N.
        • et al.
        Sudden death in young adults: a 25-year review of autopsies in military recruits.
        Annals of Internal Medicine. 2004; 141: 829-834
        • Maron B.J.
        • Shirani J.
        • Poliac L.C.
        • Mathenge R.
        • Roberts W.C.
        • Mueller F.O.
        Sudden death in young competitive athletes. Clinical, demographic, and pathological profiles.
        JAMA: the Journal of the American Medical Association. 1996; 276: 199-204
        • Drory Y.
        • Turetz Y.
        • Hiss Y.
        • Lev B.
        • Fisman E.Z.
        • Pines A.
        • et al.
        Sudden unexpected death in persons less than 40 years of age.
        The American Journal of Cardiology. 1991; 68: 1388-1392
        • Taylor A.J.
        • Byers J.P.
        • Cheitlin M.D.
        • Virmani R.
        Anomalous right or left coronary artery from the contralateral coronary sinus: “high-risk” abnormalities in the initial coronary artery course and heterogeneous clinical outcomes.
        American Heart Journal. 1997; 133: 428-435
        • Warnes C.A.
        • Williams R.G.
        • Bashore T.M.
        • Child J.S.
        • Connolly H.M.
        • Dearani J.A.
        • et al.
        ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons.
        Journal of the American College of Cardiology. 2008; 52: e143-e263
        • Ropers D.
        • Moshage W.
        • Daniel W.G.
        • Jessl J.
        • Gottwik M.
        • Achenbach S.
        Visualization of coronary artery anomalies and their anatomic course by contrast-enhanced electron beam tomography and three-dimensional reconstruction.
        The American Journal of Cardiology. 2001; 87: 193-197
        • Post J.C.
        • van Rossum A.C.
        • Bronzwaer J.G.
        • de Cock C.C.
        • Hofman M.B.
        • Valk J.
        • et al.
        Magnetic resonance angiography of anomalous coronary arteries. A new gold standard for delineating the proximal course?.
        Circulation. 1995; 92: 3163-3171