THE ANOMALY OF LEFT MAİN CORONARY ARTERY ORİGİNATİNG FROM THE RİGHT CORONARY ARTERY DETECTED BY 64-SLİCE MULTİDETECTOR COMPUTED TOMOGRAPHY

Abstract

Coronary artery origin anomalies are usually benign and determines in angiography which made with any causes. Some types of these anomalies which seen rarely can cause serious results. The 43 year old female patient was admitted to the hospital worsing chest pain in the last times. Chest pain was typical, so we planned coronary angiography. In angiography we determined originating the left main coronary artery from right sinus valsalva. In 64-slice multi-detector competed tomographic angiography the left main coronary artery was lying in front of the pulmonary artery. We aimed to emphasize the importance of new imaging modalities in a patient with coronary artery anomallies. 

Keywords

• Coronary anomaly
• left main coronary artery
• multi-slice computed tomography

SAĞ KORONER ARTERDEN KÖKEN ALAN SOL ANA KORONER ARTERİN 64 KESİTLİ BİLGİSAYARLI TOMOGRAFİ İLE GÖRÜNTÜLENMESİ

Abstract

Koroner arter çıkış anomalileri sıklıkla benign bir durum olup herhangi bir nedenle yapılan koroner anjiografi sırasında saptanmaktadır. Nadir olarak görülen bazı tipleri seyirleri dolayısıyla ciddi klinik sonuçlara neden olabilmektedir. Kırk üç yaşında bayan hasta son zamanlarda gittikçe artan efor anginası şikayeti ile başvurdu. Ağrısının tipik karakterde olması nedeniyle yapılan koroner anjiografide sol ana koroner arterin sağ sinüs valsalvadan çıktığı saptandı. Yapılan 64 kesitli bilgisayarlı tomografi (BT) ‘de sol ana koroner arterin pulmoner arterin ön tarafında seyrettiği tespit edildi. Biz koroner arter anomalisi olan bu hastada yeni görüntüleme tekniklerinin önemini vurgulamayı amaçladık.

Keywords

• Koroner anomali
• sol ana koroner arter
• çok kesitli bilgisayarlı tomografi

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