A case of an acute coronary syndrome associated with anomalous origin of the left main coronary artery, with a right coronary sinus origin

Year 2021, Volume: 5 Issue: 5, 572 - 574, 01.05.2021

Berat Uğuz , Selma Tiryakioğlu , Ahmet Yıldırım , Alper Karakuş

https://doi.org/10.28982/josam.810808

https://izlik.org/JA84UU69RR

Abstract

We present a case whose left main coronary artery (LMCA) arose from the right sinus of Valsalva, which is a very rare congenital anomaly. In a 48-year-old male, coronary angiographic (CAG) examination revealed LMCA arising from the right sinus of Valsalva. Although this kind of anomaly has generally been accepted to have a benign course, it may cause sudden death. In this case report, we present a patient who was admitted to our clinic with Acute Coronary Syndrome (ACS) and was found to have LMCA originating from the right sinus of Valsalva in the CAG. A percutaneous coronary angioplasty was performed with stent placement in the critical stenosis in the left anterior descending (LAD) coronary artery.

Keywords

Congenital coronary anomaly , Left main coronary artery , Acute coronary syndrome

References

• 1. Osamu Y, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Catheterization and cardiovascular diagnosis. 1990;21(1):28-40.
• 2. Alpsoy Ş, Akyüz A, Akkoyun D, Uygur R, Gürkan S, et al. Sağ Sinüs Valsalva’dan Çıkan Sol Ana Koroner Arter Anomalisi. Kocatepe Tıp Dergisi. 2016;17(1):1-4.
• 3. Aygün F, Efe D, Acır NÖ, Tek Kökten Çıkan Koroner Arter: Olgu Sunumu. CausaPedia. 2015;4:1094.
• 4. Uslu Ş. Koroner anjiografi yapılan hastalarda koroner anomalilerin değerlendirilmesi ve klinik önemi. 2012. Uzmanlık Tezi
• 5. Ökçün B, Orhan L, Babalık E. Tek koroner arter: Konjenital koroner arter anomalilerinin nadir bir formu (2 olgu sunumu). Türk Kardiyoloji Dern Ars. 2004;32(4):322-5.
• 6. Sinha SK, Tripathy S, Himanshu K, Razi M, Aggarwal P, Krishna V, et al. Single coronary artery from right coronary sinus presenting with acute coronary syndrome. Folia Cardiologica. 2019;14(2):174-8.