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, , 572 - 574, 01.05.2021

Berat Uğuz , Selma Tiryakioğlu , Ahmet Yıldırım , Alper Karakuş

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

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

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