Twin Circumflex Artery: a rare coronary artery anomaly

Abstract

Sağ sinüs valsalvadan kaynaklanan sirkumfleks koroner arter anomalisi en sık görülen koroner arter anomalisiyken, sirkumfleks arterin çift olması nadir bir anomalidir.Burada sağ koroner sinüsten çıkan sirkumfleks arter ile sol koroner arterden çıkan sirkumfleks arterin oluşturduğu ikiz sirkümfleks arter anomalisini tanımladık.Anahtar kelimeler: Koroner arter anomalisi, ikiz sirkumfleks arter, sağ sinüs valsalva

Keywords

• Coronary artery anomalies, twin circumflex arteries, right sinus of valsalva

İkiz Sirkumfleks Arter: Nadir bir koroner anomali

Abstract

A circumflex coronary artery anomalously originating from the right sinus of Valsalva is the most common coronary anomaly; however dual origin of the circumflex artery is a rare anomaly. We describe here the report of 'twin' circumflex arteries with the anomalous circumflex coronary artery arising from the right coronary sinus and a circumflex artery from left coronary artery.Keywords: Coronary artery anomalies, twin circumflex arteries, right sinus of valsalva

Keywords

• Koroner arter anomalisi, ikiz sirkumfleks arter, sağ sinüs valsalva

References

1. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,995 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990;21: 28- 40
2. Popma JJ, Bittl J. Coronary angiography and intravascular ultrasonography. In: Braunwald E, Zipes DP, Libby P, eds. Heart Disease: A Text Book of Cardiovascular Medicine. 6th ed. Philadelphia, WB Saunders, 2001,387- 421
3. Tedeschi C, De Rosa R, Ratti G, Sacco M, Borrelli F, Runza G, et al. [Anomalous origin of the circumflex artery from the right aortic sinus: assessment with conventional coronary angiography and multislice computed tomography]. G Ital Cardiol (Rome) 2008;9:421-4.
4. Datta J, White CS, Gilkeson RC, Meyer CA, Kansal S, Jani ML et al. Anomalous coronary arteries in adults: depiction at multi-detector row CT angiography. Radiology. 2005;235(3):812–818.
5. Aydinlar A, Ciçek D, Sentürk T, Gemici K, Serdar OA, Kazazoglu AR, et al. Primary congenital anomalies of the coronary arteries: a coronary arteriographic study in Western Turkey. Int Heart J. 2005;46:97–103.
6. Roberts WC, Shirani J. The four subtypes of anomalous origin of the left main coronary artery from the right aortic sinus (or from the right coronary artery). Am J Cardiol. 1992;70(1):119–21.
7. Burke AP, Farb A, Virmani R, Goodin J, Smialek JE. Sports-related and non-sports-related sudden cardiac death in young adults. Am Heart J. 1991;121:568–575.
8. Taylor AJ, Rogan KM, Virmani R. Sudden cardiac death associated with isolated congenital coronary artery anomalies. J Am Coll Cardiol. 1992;20(3):640–647.

9. Tekbas EO, Cakici M, Yuce M, Alici H, Davutoglu V. Twin circumflex arteries with left sinus of valsalva origin: a case report. Int J Angiol. 2011;20:101-2
10. 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
11. Attar MN, Moore RK, Khan S. Twin circumflex arteries: a rare coronary artery anomaly. J Invasive Cardiol. 2008;20:E54-5