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A Rare Type of Coronary Anomalies: Twin Circumflex Arteries

Year 2022, Volume: 3 Issue: 2, 239 - 241, 01.08.2022

Abstract

Coronary artery anomalies have been mostly diagnosed incidentally in clinical practice. In this context, anomalous origin of the circumflex (Cx) artery has been relatively frequent compared with other anomalies. However, twin circumflex (Cx) arteries have been very rarely encountered to date. In a previous study, it was reported that the incidence of Cx arteries originating from the left and right coronary sinuses ranged from 0.19% to 0.29%. Clinically, this anomaly is generally considered a benign pathology. However, in the case of a possible acute coronary syndrome or unstable angina pectoris, it may cause difficulties in diagnosis and treatment. In this paper, we report a 58-year-old male patient admitted with angina pectoris in whom the coronary angiogram (CAG) demonstrated twin Cx arteries (two separate arteries stemming from the left and right coronary systems) along with a critical stenotic lesion in the right coronary artery (RCA).

References

  • Referans 1. Van der Velden L, Bär F, Meursing B, Ophuis TO. A rare combination of coronary anomalies. Netherlands Heart Journal. 2008;16(11):387-9.
  • Referans 2. Wilkins CE, Betancourt B, Mathur VS, Massumi A, De Castro CM, Garcia E, et al. Coronary artery anomalies: a review of more than 10,000 patients from the Clayton Cardiovascular Laboratories. Texas Heart Institute Journal. 1988;15(3):166.
  • Referans 3. Maron BJ. Sudden death in young athletes. New England Journal of Medicine. 2003;349(11):1064-75.
  • Referans 4. Yorgun H, Hazırolan T, Kaya EB, Gürses KM, Evranos B, Canpolat U, et al. The prevalence of coronary artery anomalies in patients undergoing multidetector computed tomography for the evaluation of coronary artery disease. Turk Kardiyoloji Dernegi Arsivi: Turk Kardiyoloji Derneginin Yayin Organidir. 2010;38(5):341-8.
  • Referans 5. Frescura C, Basso C, Thiene G, Corrado D, Pennelli T, Angelini A, et al. Anomalous origin of coronary arteries and risk of sudden death: a study based on an autopsy population of congenital heart disease. Human pathology. 1998;29(7):689-95.
  • Referans 6. Click RL, Holmes DR, Vlietstra RE, Kosinski AS, Kronmal RA. Anomalous coronary arteries: location, degree of atherosclerosis and effect on survival—a report from the Coronary Artery Surgery Study. Journal of the American College of Cardiology. 1989;13(3):531-7.
  • Referans 7. Karabay KO, Uysal E, Bağırtan B, Vural M. A case of twin circumflex arteries associated with acute myocardial infarction. Turk Kardiyol Dern Ars. 2010;38:496-8.
  • Referans 8. Hendiri T, Alibegovic J, Bonvini RF, Camenzind E. Successful angioplasty of an occluded aberrant coronary artery: a rare cause of acute myocardial infarction. Acute cardiac care. 2006;8(2):125-7.

Nadir Bir Koroner Arter Çıkış Anomalisi: İkiz Circumflex Arter

Year 2022, Volume: 3 Issue: 2, 239 - 241, 01.08.2022

Abstract

Koroner arter anomalileri klinik pratikte çoğunlukla tesadüfen teşhis edilmektedir. Bu bağlamda sirkumfleks (Cx) arterin anormal orijini diğer anomalilere göre nispeten daha sık görülmektedir. Ancak bugüne kadar ikiz sirkumfleks (Cx) arterlere çok nadir rastlanmıştır. Daha önce yapılan bir çalışmada sol ve sağ koroner sinüslerden kaynaklanan Cx arterlerin görülme sıklığının %0.19 ile %0.29 arasında değiştiği bildirilmişti. Klinik olarak, bu anomali genellikle iyi huylu bir patoloji olarak kabul edilir. Ancak olası bir akut koroner sendrom veya kararsız angina pektoris durumunda tanı ve tedavide zorluklara neden olabilir. Bu yazıda, anjina pektoris ile başvuran ve koroner anjiyografide (KAG) ikiz Cx arterleri (sol ve sağ koroner sistemlerden çıkan iki ayrı arter) ile birlikte sağ koroner arterinde (RCA) kritik bir stenotik lezyon gösteren 58 yaşında bir erkek hasta sunuldu.

References

  • Referans 1. Van der Velden L, Bär F, Meursing B, Ophuis TO. A rare combination of coronary anomalies. Netherlands Heart Journal. 2008;16(11):387-9.
  • Referans 2. Wilkins CE, Betancourt B, Mathur VS, Massumi A, De Castro CM, Garcia E, et al. Coronary artery anomalies: a review of more than 10,000 patients from the Clayton Cardiovascular Laboratories. Texas Heart Institute Journal. 1988;15(3):166.
  • Referans 3. Maron BJ. Sudden death in young athletes. New England Journal of Medicine. 2003;349(11):1064-75.
  • Referans 4. Yorgun H, Hazırolan T, Kaya EB, Gürses KM, Evranos B, Canpolat U, et al. The prevalence of coronary artery anomalies in patients undergoing multidetector computed tomography for the evaluation of coronary artery disease. Turk Kardiyoloji Dernegi Arsivi: Turk Kardiyoloji Derneginin Yayin Organidir. 2010;38(5):341-8.
  • Referans 5. Frescura C, Basso C, Thiene G, Corrado D, Pennelli T, Angelini A, et al. Anomalous origin of coronary arteries and risk of sudden death: a study based on an autopsy population of congenital heart disease. Human pathology. 1998;29(7):689-95.
  • Referans 6. Click RL, Holmes DR, Vlietstra RE, Kosinski AS, Kronmal RA. Anomalous coronary arteries: location, degree of atherosclerosis and effect on survival—a report from the Coronary Artery Surgery Study. Journal of the American College of Cardiology. 1989;13(3):531-7.
  • Referans 7. Karabay KO, Uysal E, Bağırtan B, Vural M. A case of twin circumflex arteries associated with acute myocardial infarction. Turk Kardiyol Dern Ars. 2010;38:496-8.
  • Referans 8. Hendiri T, Alibegovic J, Bonvini RF, Camenzind E. Successful angioplasty of an occluded aberrant coronary artery: a rare cause of acute myocardial infarction. Acute cardiac care. 2006;8(2):125-7.
There are 8 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Cihan Öztürk 0000-0001-8694-1693

Melik Demir 0000-0003-1711-6707

Burcu Çakır 0000-0002-0190-7670

Kenan Yalta 0000-0001-5966-2488

Publication Date August 1, 2022
Published in Issue Year 2022 Volume: 3 Issue: 2

Cite

APA Öztürk, C., Demir, M., Çakır, B., Yalta, K. (2022). A Rare Type of Coronary Anomalies: Twin Circumflex Arteries. Eskisehir Medical Journal, 3(2), 239-241.
AMA Öztürk C, Demir M, Çakır B, Yalta K. A Rare Type of Coronary Anomalies: Twin Circumflex Arteries. Eskisehir Med J. August 2022;3(2):239-241.
Chicago Öztürk, Cihan, Melik Demir, Burcu Çakır, and Kenan Yalta. “A Rare Type of Coronary Anomalies: Twin Circumflex Arteries”. Eskisehir Medical Journal 3, no. 2 (August 2022): 239-41.
EndNote Öztürk C, Demir M, Çakır B, Yalta K (August 1, 2022) A Rare Type of Coronary Anomalies: Twin Circumflex Arteries. Eskisehir Medical Journal 3 2 239–241.
IEEE C. Öztürk, M. Demir, B. Çakır, and K. Yalta, “A Rare Type of Coronary Anomalies: Twin Circumflex Arteries”, Eskisehir Med J, vol. 3, no. 2, pp. 239–241, 2022.
ISNAD Öztürk, Cihan et al. “A Rare Type of Coronary Anomalies: Twin Circumflex Arteries”. Eskisehir Medical Journal 3/2 (August 2022), 239-241.
JAMA Öztürk C, Demir M, Çakır B, Yalta K. A Rare Type of Coronary Anomalies: Twin Circumflex Arteries. Eskisehir Med J. 2022;3:239–241.
MLA Öztürk, Cihan et al. “A Rare Type of Coronary Anomalies: Twin Circumflex Arteries”. Eskisehir Medical Journal, vol. 3, no. 2, 2022, pp. 239-41.
Vancouver Öztürk C, Demir M, Çakır B, Yalta K. A Rare Type of Coronary Anomalies: Twin Circumflex Arteries. Eskisehir Med J. 2022;3(2):239-41.