scholarly journals A Rare Case of Angina Pectoris with the Longest Ectopic Left Main Coronary Artery Arising from Right Sinus of Valsalva and a Prepulmonic Course

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Santosh Kumar Sinha ◽  
Vikas Mishra ◽  
Nasar Abdali ◽  
Karandeep Singh ◽  
Mukesh Jitendra Jha ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Rare Case ◽  
Left Main Coronary Artery ◽  
Chronic Stable Angina ◽  
Correct Interpretation ◽  
Coronary Angiogram ◽  
Sinus Of Valsalva ◽  
Left Main ◽  
Main Trunk ◽  
Conventional Angiogram

Knowledge of the morphoanatomical characteristics of the main trunk of the left coronary artery as well as its variations is cornerstone of hemodynamic, correct interpretation of coronary angiogram and for revascularization purpose. The left main coronary artery (LMCA) ranges from 3 to 6 mm in diameter and may be up to 10 to 15 mm in length in humans. We here report a case of the longest anomalous LMCA (56 mm) reported so far in a 35-year-old man with chronic stable angina arising from right sinus of valsalva as seen on conventional angiogram and multidetector computerized tomogram (MDCT).

scholarly journals Case Report: Extrinsic Compression of the Left Main Coronary Artery by a Giant Sinus of Valsalva Aneurysm

2021 ◽  
Vol 8 ◽  
Author(s):  
Feifei Ning ◽  
Manyun Tang ◽  
Mengjie Wang ◽  
Joseph B. Muhlestein ◽  
John D. Day ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Rare Case ◽  
Left Main Coronary Artery ◽  
Sinus Of Valsalva ◽  
Left Main ◽  
Sinus Of Valsalva Aneurysm ◽  
Extrinsic Compression ◽  
Clinical Presentations ◽  
Exertional Angina

Sinus of Valsalva aneurysm (SoVA) is an uncommon clinical entity, which is present in roughly 0. 09% of the general population. The cause can either be acquired or congenital. Clinically the SoVA of unruptured status are rarely captured or even diagnosed due to atypical clinical presentations. Here, we present a rare case of exertional angina pectoris and recurrent syncope due to an extrinsically compressed left coronary artery by a giant SoVA in a 50-year-old female patient. This SoVA was successfully repaired by the surgical exclusion and the patient was still doing well after 2 years of follow-up.

ASSA13-05-3 Anomalous Left Main Coronary Artery Arising From The Right Sinus Of Valsalva

Heart ◽  
2013 ◽  
Vol 99 (Suppl 1) ◽  
pp. A32.2-A32
Author(s):  
Erdal Gursul ◽  
Hamza Duygu ◽  
Rida Berilgen ◽  
Özgen Safak ◽  
Erkan Yılmaz
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Sinus Of Valsalva ◽  
Left Main ◽  
The Right

Primary stenting of the left main coronary artery with anomalous origin from the right sinus of valsalva

2007 ◽  
Vol 114 (1) ◽  
pp. 137-138 ◽  
Author(s):  
Holger M. Nef ◽  
Helge Möllmann ◽  
Susanne Möllmann ◽  
Thorsten Dill ◽  
Christian W. Hamm ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Anomalous Origin ◽  
Sinus Of Valsalva ◽  
Left Main ◽  
Primary Stenting ◽  
The Right

scholarly journals Anomalous Origin of the Left Main Coronary Artery from the Right Coronary Artery with a Preaortic Course

2015 ◽  
Vol 42 (3) ◽  
pp. 243-245 ◽  
Author(s):  
Omer Yildiz ◽  
Kanber Ocal Karabay ◽  
Canan Akman ◽  
Vedat Aytekin
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Anomalous Origin ◽  
Sinus Of Valsalva ◽  
Canadian Cardiovascular Society ◽  
Left Main ◽  
St Segment ◽  
Canadian Cardiovascular Society Class ◽  
The Right ◽  
Coronary Angiograms

We report the case of a 51-year-old woman who presented with stable angina pectoris and Canadian Cardiovascular Society class II functional capacity. An electrocardiogram during a treadmill exercise test showed substantial ST-segment depression in the inferolateral leads. Coronary angiograms revealed an anomalous origin of the left main coronary artery from the opposite sinus of Valsalva and an interarterial course between the ascending aorta and pulmonary artery. Although this phenomenon is dangerous, the patient refused further examination. We discuss the diagnosis and treatment of patients who have an anomalous origin of a coronary artery from the opposite sinus of Valsalva.

scholarly journals Left main coronary artery compression by a left sinus of Valsalva aneurysm

2013 ◽  
Vol 16 (5) ◽  
pp. 713-714 ◽  
Author(s):  
José Martínez-Comendador ◽  
Javier Gualis ◽  
Carlos Esteban Martín ◽  
Alberto Santamaria
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Sinus Of Valsalva ◽  
Left Main ◽  
Sinus Of Valsalva Aneurysm ◽  
Left Sinus Of Valsalva

scholarly journals Does Type 5 of Takayasu's Arteritis Require Subclassification?

2018 ◽  
Vol 03 (01) ◽  
pp. 023-026
Author(s):  
Sandeep Moode ◽  
Suneethi Malayathi ◽  
Jyotsna Maddury ◽  
Lalita Nemani
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Takayasu’S Arteritis ◽  
Pulmonary Vasculature ◽  
Takayasu's Arteritis ◽  
Coronary Angiogram ◽  
Left Main ◽  
Clinical Presentations ◽  
Study Population ◽  
Inflammatory Vascular Disease

Abstract Background Takayasu's arteritis (TA) is an inflammatory vascular disease of the young involving the large elastic arteries resulting in occlusive or ectatic changes, mainly in the aorta and its major branches as well as the pulmonary artery and its branches. Materials and Methods The authors reviewed the TA patients admitted over 2 years in their department and who underwent catheterization. They noted the clinical presentations, two-dimensional (2D) echocardiographic features, and angiogram details of all these patients. Results The study population constituted 24 patients with mean age of 28 years. Out of them, 21 (87.5%) were females. Most of the admitted TA patients presented with claudication complaints (79.2%), 37.5% patients had breathlessness, and 12.5% patients had typical stable angina symptoms. Five patients had 2D echo abnormalities, and rest of the patients had normal echocardiogram. Coronary angiogram (CAG) along with aortogram and selective peripheral arteriograms were performed of all these patients. Left main coronary artery (LMCA) disease was seen in three (12.5%) patients. Case details of two (8.3%) patients with multiple anomalous communications of the coronaries with pulmonary vasculature were described. Conclusion TA patients who came for catheterization were predominantly females, mainly involving the aorta and its main branches. In the authors’ TA series of patients, type 5 presentation was there in five (20.8%) patients (three cases of LMCA + two cases of coronary artery to pulmonary parenchymal fistulas). They propose to subclassify type 5 of TA, as they report coronary artery to pulmonary parenchymal fistulas along with the previous literature.

scholarly journals P269 When sudden cardiac death is the first symptom

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
J Abdala Lizarraga ◽  
S Sanchez Alvarez ◽  
P Garcia Gonzalez ◽  
B Trejo Velasco ◽  
V Vidal Urrutia ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Coronary Artery ◽  
Physical Exercise ◽  
Left Main Coronary Artery ◽  
Sudden Cardiac Arrest ◽  
Anomalous Origin ◽  
Moderate Intensity ◽  
Sinus Of Valsalva ◽  
Left Main ◽  
The Right

Abstract A 43-year-old male was brought to the emergency department due to a recovered sudden cardiac arrest that occurred while performing physical exercise of moderate intensity. The patient was admitted in a coronary care unit and performed complementary tests to rule out immediate causes of cardiac arrest electrocardiogram showed sinus rhythm, no repolarization abnormalities and normal QTc interval. Echocardiogram revealed no evidence of cardiac tamponade, massive pulmonary embolism (PE), ventricular dysfunction or valvular heart disease. Absence of pneumothorax in chest X-ray. Arterial blood gas test revealed a high lactate concentration with other parameters in normal range. Cerebral tomography showed absence of an acute hemorrhagic event. To continue with the study an emergent coronarography was performed showing epicardial arteries with no significant obstructive coronary artery disease associated with an anomalous origin of left main coronary artery in the right sinus of Valsalva with possible interarterial course. Coronary tomography confirmed the origin of the right coronary artery and the left main coronary artery in the right sinus of Valsalva with an interarterial course, proceeding to the reconstruction of the images with the volume rendering (VR) technique (Figure 1). Congenital anomalies of the coronary arteries are a rare but life-threatening condition. Most coronary abnormalities are asymptomatic and follow a benign course, however, in some cases they present with ischemic symptoms, heart failure, myocardial infarction, syncope or sudden death. The anomalous origin of the left main coronary artery in the right sinus of Valsalva can cause myocardial ischemia and should be ruled out in young patients who present sudden cardiac arrest induced by physical exercise. Abstract P269 Figure 1

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