Akut Koroner Sendromlu Bir Hastada Sirkumfleks Distalinde Çıkan Sağ Koroner Arter Anomalisi

Yıl 2015, Cilt: 12 Sayı: 1, 173 - 174, 15.04.2015

Muslihittin Emre Erkus , İbrahim Halil Altıparmak , Zekeriya Kaya , Recep Demırbag

Öz

A 79-year-old woman was admitted to emergency department with typical retrosternal chest pain. The
physical examination was normal. The twelve-lead electrocardiogram revealed sinus rhythm, QS pattern in
leads V1-V2 and negative T waves in leads V1-V6 and aVL (Figure 1). The laboratory assessment revealed
elevated creatinine phosphokinase isoenzyme (12 ng /ml) and troponin I (0.06 ng/ml) levels. Other
biochemistry values were within the normal limits. She was diagnosed as acute coronary syndrome and she
underwent early percutanous .intervention due to continuing cheat pain. We were not able to find out right
coronary artery (RCA) either on right coronary angiography or on aortography (Figure 2A). Left coronary
angiography revealed retrograde course of RCAoriginating from distal left circumflex artery (Figure 2B). A
single coronary artery is commonly associated with severe cardiac malformations, but in this case we are not
able to find other severe malformations. This case shows the rare isolated single coronary artery in a 79-yearold woman with acute coronary syndrome.

Anahtar Kelimeler

Koroner anomali, akut koroner sendrom

Anomalous Right Coronary Artery Originating From Distal Left Circumflex Artery In A Patient With Acute Coronary Syndrome

Öz

A 79-year-old woman was admitted to emergency department with typical retrosternal chest pain. The
physical examination was normal. The twelve-lead electrocardiogram revealed sinus rhythm, QS pattern in
leads V1-V2 and negative T waves in leads V1-V6 and aVL (Figure 1). The laboratory assessment revealed
elevated creatinine phosphokinase isoenzyme (12 ng /ml) and troponin I (0.06 ng/ml) levels. Other
biochemistry values were within the normal limits. She was diagnosed as acute coronary syndrome and she
underwent early percutanous .intervention due to continuing cheat pain. We were not able to find out right
coronary artery (RCA) either on right coronary angiography or on aortography (Figure 2A). Left coronary
angiography revealed retrograde course of RCAoriginating from distal left circumflex artery (Figure 2B). A
single coronary artery is commonly associated with severe cardiac malformations, but in this case we are not
able to find other severe malformations. This case shows the rare isolated single coronary artery in a 79-yearold woman with acute coronary syndrome.

Anahtar Kelimeler

coronary anomaly, acute coronary syndrome

Kaynakça

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