Aterosklerotik sol sirkumfleks koroner anomalisinin neden olduğu miyokard infarktüsü: vaka sunumu

Öz

Miyokard iskemisine neden olmayan koroner arter anomalileri genellikle masum kabul edilir. Sirkumfleks koroner arterin sağ sinüs Valsalva’dan çıkması bu arterin en sık görülen anatomik varyasyonudur. Bu makalede inferior miyokard infarktüsü geçirmiş, istirahat anjinası olan ve koronar anjiyografisinde oldukça seyrek rastlanan aterosklerotik lezyonlu sirkumfleks koroner arter anomalili, 68 yaşında bir bayan olgu tartışıldı

Anahtar Kelimeler

• Koroner anomali,miyokard infarktüsü

Myocardial infarction caused by the circumflex coronary artery anomaly with atherosclerosis: a case report

Öz

Coronary artery anomalies that are not causing myocardial ischemia are usually considered benign. Origin of the left circumflex coronary artery from the right sinus of Valsalva is the most common anatomic variation of this coronary artery. We reported an unusual case of a 68-years-old female patient with prior inferior myocardial infarction, symptom of angina at rest, and anomalous of the left circumflex coronary artery originated from right sinus of Valsalva with obstructive atherosclerotic coronary lesion in coronary angiography

Anahtar Kelimeler

• Myocardial infarction,coronary artery anomaly

Kaynakça

1. Baltaxe HA, Wixson D. The incidence of congenital anomalies of the coronary arteries in the adult population. Radiology, 1977; 122: 47-52.
2. Engel HJ, Torres C, Page HL Jr. Major variations in anatomical origin of the coronary arteries: angiographic observations in 4,250 patients without associated congenital heart disease. Cathet Cardiovasc Diagn, 1975; 1: 157-69.
3. Ueyama K, Ramchandani M, Beall AC, et al. Diagnosis and operation for anomalous circumflex coronary artery. Ann Thorac Surg, 1997; 63: 377-81.
4. Rozenman Y, Schechter D, Gilon D, Gotsman MS. 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: 900-1.
5. Wilkins CE, Betancourt B, Mathur VS, et al.
6. Coronary artery anomalies: a review of more than 10,000 patients from the Clayton Cardiovascular Laboratories. Tex Heart Inst J, 1988; 15: 166-73.
7. Barriales Villa R, Diaz Molina B, Arias
8. Castano JC, et al. Myocardial ischemia caused by an anomalous circumflex coronary artery. Rev Esp Cardiol,. 2002; 55: 200-2.

9. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn, 1990; 21: 28-40.
10. Felmeden D, Singh SP, Lip GY. Anomalous coronary arteries of aortic origin. Int J Clin Pract, 2000; 54: 390-4.
11. Kimbiris D, Iskandrian AS, Segal BL, Bemis CE. Anomalous aortic origin o coronary arteries. Circulation, 1978; 58: 606-15.
12. Veinot JP, Acharya VC, and Bedard P. Compression of anomalous circumflex coronary artery by a prosthetic valve ring. Ann Thorac Surg, 1998; 66: 2093-4.