Anomalous Right Coronary Artery originating from the left sinus of valsalva: Rare but outstanding cause of syncope

Öz

Coronary anomalies are relatively common but rarely associated with syncope, myocardial ischemia, and sudden cardiac death. An anomalous right coronery artery from the left sinus of valsalva is now recognized as an important causative factor in sudden death and myocardial infarction and syncope.This case report presents an anomalous right coronary artery (RCA) originating from the left sinus of Valsalva with syncope and will be focused on the diagnostic variation and management.

Anahtar Kelimeler

• Coronary artery anomalous, right coronary artery, syncope

Anomalous Right Coronary Artery originating from the left sinus of valsalva: Rare but outstanding cause of syncope

Öz

Koroner anomaliler göreceli olarak yaygın olmasına rağmen nadiren senkop, miyokardiyal iskemi ve ani kardiak ölümle ilişkilidir. Sol sinüs valsalvadan köken alan sağ koroner arter anomalisi ani ölüm,miyokardiyal iskemi ve senkobun en önemli sebebleri arasındadır.Bu vaka takdiminde sol sinüs valsalvadan köken alan sağ koroner arter anomalisinin tanısal çeşitliliği ve hasta yönetimini ele alınmaktadır

Anahtar Kelimeler

• Koroner arter anomalisi, sağ koroner arter, senkop

Kaynakça

1. Yamakama O, Hobbes RE. Coronary anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990; 21:28-40,
2. Waller F. Nonatherosclerotic coronary heart disease, in Fuster V, Alexander RW, O Rourke RA, et al ed. Hurst’s the Heart 10. ed New York NY, McGraw Hill; 2001, p. 1161-69
3. Dirksen MS, Bax JJ, Blom NA, et al. Detection of malig- nant right coronary artery anomaly by multi-slice CT cor- onary angiography. Eur Radiol. 2002;12:177–80
4. Roberts WC. Major anomalies of coronary arterial origin seen in adulthood. Am Heart J 1985; 111:941-63
5. Kaku B, Kanaya H, Ikeda M, et al. Acute inferior myocar- dial infarction and coronary spasm in a patient with an anomalous origin of the right coronary artery from the left sinus of Valsalva. Jpn Circ J 2000; 64:641-43
6. Click RL, Holmes DR Jr, Vlietstra RE, Kosinski AS, Kronmal RA. Anomalous coronary arteries: Location, degree of ath- erosclerosis and effect on survival: A report from the coro- nary artery surgery study. J Am Coll Cardiol 1989; 13:531-37 97
7. Salm LP, Bax JJ, Lamb HJ, et al. Evaluation of rerouting surgery of a coronary artery anomaly by magnetic reso- nance angiography. Ann Thorac Surg 2003; 76:1748
8. Gulati GS, Naik N, Sharma S, Bisoi AK. Anomalous right coronary artery from the left sinus of Valsalva diag- nosed by multislice computed tomography. Indian Heart J 2003;55:663-65