Sağ Koroner Arterden Çıkan Sirkümfleks Artere Başarılı Primer Perkütan Koroner Girişim

Year 2015, Volume: 5 Issue: 4, 236 - 239, 17.12.2015

Serdal Baştuğ Abdullah Aslan Murat Güney Cenk Sarı Ahmet Ertem

Abstract

Koroner arter anomalilerin sıklığı toplumda %1-2 olarak bildirilmektedir. Sıklığı nadir olsa da bu tür konjenital anomaliler miyokard iskemisi ve ani ölüm ile ilişkili bulunduğundan önem arz etmektedir. Biz bu vakada acil servisimize akut posterior miyokard enfarktüsü ile gelen, primer perkütan koroner girişim amacıyla kateter laboratuarına alınan ve koroner anjiyografide sağ koroner arterden köken alan sirkümflex arterde total tıkanıklık saptanan, başarılı primer anjiyoplasti ve stent uyguladığımız 56 yaşında bir erkek hastayı sunduk.

Keywords

Koroner arter anomalileri, Akut miyokard enfarktüsü, Perkütan koroner girişim

Successful Primary Percutaneous Intervention to the Circumflex Artery Originating From Right Coronary Artery

Abstract

The incidence of coronary artery anomalies are reported in 1% to 2% of the population. Although their frequency is rare, these congenital anomalies are important due to their relation with myocardial infarction and sudden cardiac death. In this case, we presented a 56 years old male patient who has been admitted to our emergency service with acute posterior myocardial infarction and transferred to the catheterisation laboratory for the purpose of primary percutaneous coronary intervention. Coronary angiography revealed culprit lesion in anomalous circumflex artery originating from the proximal part of the right coronary artery and the patient was treated with successful primary angioplasty and stent implantation.

Keywords

Coronary artery anomalies, Acute myocardial infarction, Percutaneous coronary intervention

References

• Roberts WC, Siegel RJ, Ziges DP. Origin of the right References
• coronary artery from the left sinus of valsalva and its functional consequences:Analysis of 10 necropsy patients. Am J Cardiol 1982;49:863.
• Brand B, Martins JB, Marcus ML. Anomalous origin of the right coronary artery from the left sinus of valsalva. N Eng J Med 1983;309:596
• Page HL, Engel HJ, Campbell WB, Thomas CS. Anomalous origin of the left circumflex coronary artery. Recognition, angiographic, demonstration and clinical significance. Circulation 1974;50:768–773.
• Rozenman Y. Anomalous origin of the circumflex coronary artery from the right sinus of Valsalva as a cause of ischemia at old age. Clin Cardiol 1993;16:900–901.
• Mavi A, Serçelik A, Ayalp R, Pestemalci T, Batyraliev T, Gümüşburun E. Variants in origin of the left circumflex coronary artery with angiography. Saudi Med J 2002;23(11):1390-1393.
• Corrado D, Penelli T, Piovesana P, Thiene G. Anomalous origin of the left circumflex coronary artery from the right aortic sinus of Valsalva and sudden death. Cardiovasc Pathol 1994;3:269–71. doi: 10.1016/1054 8807(94)90013-2.
• Blanchard D, Ztot S, Boughalem K, Ledru F, Henry P, Battaglia S, Louali A, Nader R, Pagny JY, Guermonprez JL. Percutaneous transluminal angioplasty of the anomalous circumflex artery. J Interv Cardiol 2001;14:11–16. doi:10.1111/j.1540-8183.2001.tb00704.x.
• Angelini P, Velasco JA, Ott D, Khoshnevis GR. Anomalous coronary artery arising from the opposite sinus: descriptive features and pathophysiologic mechanisms, as documented by intravascular ultrasonography. J Invasive Cardiol 2003;15:507–514