Sports Behavior in Middle-Aged Individuals with Anomalous Coronary Artery from the Opposite Sinus of Valsalva

Cardiology ◽  
2018 ◽  
Vol 139 (4) ◽  
pp. 222-230 ◽  
Author(s):  
Christoph Gräni ◽  
Dominik C. Benz ◽  
Dominik A. Steffen ◽  
Andreas A. Giannopoulos ◽  
Michael Messerli ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Arteries ◽  
Surgical Correction ◽  
Anomalous Coronary Artery ◽  
Sinus Of Valsalva ◽  
Middle Aged ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries ◽  
Sports Activities

Objectives: Recommendations regarding sports restriction are lacking for middle-aged athletes with anomalous coronary arteries originating from the opposite sinus of Valsalva (ACAOS). Methods: Sixty-three patients with ACAOS were subdivided into ACAOS with (n = 38) or without (n = 25) an interarterial course (IAC). Sports behavior, either competitive (COMP) or recreational (REC), was evaluated at the time of diagnosis and after a median follow-up of 4.2 years. Results: Mean age was 56 ± 11 years and 48 (76.2%) patients were engaged in sports. Three individuals (4.8%) were surgically corrected after diagnosis. Thirty-eight (60.3%) patients were aware of their diagnosis at follow-up and 12 (19.0%) were counseled by their physician about sports restrictions. Sports behavior at the time of diagnosis and at follow-up did not differ significantly, neither in patients engaged in COMP (17.5 vs. 12.7%, p = 0.619) nor those engaged in REC (58.7 vs. 61.9%, p = 0.856). Sport-related symptoms were not significantly different between ACAOS patients with and without IAC. No athlete had died at follow-up. Conclusions: The majority of middle-aged individuals with ACAOS were involved in sports activities at the time of diagnosis and at follow-up. Awareness and counseling about ACAOS diagnosis had no significant effect on sports behavior. IAC did not have an impact on sport-related symptoms, and outcomes were favorable in all athletes, regardless of surgical correction.

scholarly journals Anomalous Origin of All Coronary Arteries from Right Sinus of Valsalva

2020 ◽  
Vol 47 (2) ◽  
pp. 170-172
Author(s):  
Harini Bollempalli ◽  
Vijay G. Divakaran ◽  
Andrew C. Kontak ◽  
Patricia C. Lee
Keyword(s):  
Coronary Artery ◽  
Coronary Arteries ◽  
Sinus Of Valsalva ◽  
Exertional Dyspnea ◽  
Atherosclerotic Stenosis ◽  
Obtuse Marginal Branch ◽  
Obtuse Marginal ◽  
The Right ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries

Anomalous coronary arteries are rare and often incidental findings. Most variants are benign. We present the case of a 75-year-old man with exertional dyspnea in whom the left anterior descending coronary artery arose from the right sinus of Valsalva, and the left circumflex coronary artery originated from the distal right coronary artery and supplied the obtuse marginal branch. No arteries originated from the left sinus of Valsalva. The patient was prescribed optimal medical therapy for atherosclerotic stenosis in his ramus intermedius. His symptoms were stable 3 years later.

Surgical intervention utilizing cardiopulmonary bypass for coronary unroofing of anomalous coronary artery

Perfusion ◽  
2010 ◽  
Vol 25 (4) ◽  
pp. 245-247 ◽  
Author(s):  
Justin Resley ◽  
Ryan Burke ◽  
David Isbell ◽  
Reid Tribble ◽  
Jeffery Martin ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Coronary Artery ◽  
Coronary Arteries ◽  
Cardiac Death ◽  
Surgical Intervention ◽  
Bypass Grafting ◽  
Coronary Cusp ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries

Coronary arteries originating from the opposite coronary cusp and crossing the path between the aorta and the pulmonary artery are associated with ischemia and sudden cardiac death. An increased prevalence of these cases may be attributed to diagnostic advances in computed tomographic angiography (CTA). We report a retrospective review of ten patients referred for surgical intervention from March 2008 to present. Nine patients were diagnosed with right coronary arteries arising from the left coronary cusp and one patient with a left coronary artery arising from the right coronary cusp. Seven patients were male and the median age was 40 years (range, 21 to 51). Symptoms included atypical chest pain, tachy-arrythmias, diaphoresis, and dyspnea on exertion. CTA demonstrated anomalous coronary arteries arising from the opposite coronary cusp and traveling between the aorta and the pulmonary artery. Surgical intervention was performed on all ten patients with no mortality and only one re-operation requiring bypass grafting. The sixth patient in the series had concomitant atherosclerotic disease, requiring left internal mammary artery grafting to the left anterior descending coronary artery. Cardiopulmonary bypass (CPB) was utilized with moderate hypothermia in all ten patients, with retrograde and/or coronary ostial cardioplegia administration. At routine surgical follow-up, all patients were without original presenting symptoms. Patients with anomalous coronary arteries arising from the opposite coronary cusp are at risk of acute myocardial infarction and sudden cardiac death. Surgical unroofing is a viable option for this patient population and avoids coronary artery bypass grafting. Since March 2008, we have operated on ten patients presenting with this anomaly and have had excellent short-term results. Further long-term follow-up is necessary.

Percutaneous Coronary Intervention in Different Anomalous Coronary Arteries - An Observational Study

2012 ◽  
Vol 8 (1) ◽  
pp. 20-25
Author(s):  
Mir Jamal Uddin ◽  
Mohammad Safiuddin ◽  
Md Ibrahim Khalil ◽  
Khandaker Qamrul Islam ◽  
Kajal Kumar Karmoker ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Arteries ◽  
Coronary Intervention ◽  
Anomalous Coronary Artery ◽  
Percutaneous Coronary ◽  
Abnormal Coronary Artery ◽  
Clinically Significant ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries

Anomalous coronary arteries are uncommon but clinically significant, depending upon its ostial origin, course & distribution such patient may be asymptomatic or may present with angina, acute myocardial infarction, arrythmias, syncope & sudden cardiac death. Management of such cases may be medical, interventional & surgical as well. Some times it is difficult to cannulate such anomalous origin with conventional guiding catheters and requires different catheters unusual for such arteries. Between January 2002 to June 2012 a total of 3,110 elective PCI procedure were performed in NICVD & other cardiac centers in Dhaka, out of which twentyone cases were in different varities of anomalous coronary artery. We report here successful PCI in twenty-one cases having eight verities of abnormal coronary artery with failure in one case. Percutaneous coronary intervention of anomalous coronary artery origins may be difficult, which require appropriate catheter selection and different tricks. Success depends on patience and careful decision of the operator. DOI: http://dx.doi.org/10.3329/uhj.v8i1.11663 University Heart Journal Vol. 8, No. 1, January 2012

scholarly journals Simple Provisional Stenting or two-stent Strategies to Treat Anomalous Right Coronary Originating from the mid of left Anterior Descending Coronary Artery

2020 ◽  
Vol 3 (11) ◽  
pp. 01-06
Author(s):  
Xuguang Qin
Keyword(s):  
Coronary Artery ◽  
Coronary Arteries ◽  
Incidental Finding ◽  
Anomalous Coronary Artery ◽  
Sinus Of Valsalva ◽  
First Case ◽  
Bifurcation Lesions ◽  
Provisional Stenting ◽  
Anomalous Coronary ◽  
Left Sinus Of Valsalva

Congenital anomalies of coronary arteries (CAAS) are very rare and usually documented as an incidental finding during routine catheter or CT angiograms performed for other reasons. Their prevalence ranges from 0.2% to 1.3% based published series. The most common coronary artery anomaly is origination of the left circumflex coronary (LCX) artery from the proximal of right coronary artery (RCA) or right sinus of Valsalva. The second is separate origination of the left anterior descending coronary artery (LAD) and LCX artery from the left sinus of Valsalva. Herein, we present three cases that the anomalous RCA arises from the mid of left anterior descending coronary artery (LAD). The bifurcation lesions of first case was treated using two-stent strategies of DK culotte, excellent angiography results was observed. The last two cases were treated using simple provisional stenting strategy: one stent was deployed crossover the ostium of the anomalous coronary artery, final angiographic results were excellent. These cases are extremely rare. We bring forth them in an attempt to highlight their significance, and make cardiologist to understand what important the anomalies are, and the strategy how to treatment these bifurcation lesions.

Ablation of ventricular arrhythmia originating from the aortic sinus of Valsalva in an adolescent with anomalous origin of the right coronary artery

2016 ◽  
Vol 26 (5) ◽  
pp. 987-990
Author(s):  
Elena K. Grant ◽  
Charles I. Berul
Keyword(s):  
Decision Making ◽  
Coronary Artery ◽  
Ventricular Arrhythmia ◽  
Coronary Arteries ◽  
Right Coronary Artery ◽  
Sinus Of Valsalva ◽  
Aortic Sinus ◽  
The Right ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries

AbstractA 16-year-old patient underwent successful ablation of ventricular arrhythmia originating from the aortic sinus of Valsalva following surgical unroofing of an anomalous right coronary artery. This case illustrates the complexity of decision making in the management of patients with anomalous coronary arteries and the importance of keeping an open mind when determining ventricular arrhythmia aetiology and origin.

Heart failure in an elderly man: where is that coronary?

2021 ◽  
pp. 1-4
Author(s):  
Charlie J. Sang ◽  
Stephen A. Clarkson ◽  
Elizabeth A. Jackson ◽  
Firas Al Solaiman ◽  
Marc G. Cribbs
Keyword(s):  
Heart Failure ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Medical Therapy ◽  
Coronary Arteries ◽  
Right Coronary Artery ◽  
Adult Population ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries

Abstract Anomalous coronary arteries from the pulmonary artery are uncommon causes of heart failure in the adult population. This case demonstrates the unusual presentation in a patient with anomalous right coronary artery from the pulmonary artery and discusses the complex pathophysiology of this lesion and the role of guideline-directed medical therapy in the management of these patients.

Bicuspid aortic valve and anomalous right coronary artery from the opposite coronary sinus

2021 ◽  
pp. 1-3
Author(s):  
Giuliano Giusti ◽  
Mariantonia Villano ◽  
Marco Pozzi
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Right Coronary Artery ◽  
Anomalous Coronary Artery ◽  
Sinus Of Valsalva ◽  
Intravascular Ultrasonography ◽  
Large Observational Study ◽  
The Right ◽  
Anomalous Coronary

Abstract We report on a patient with bicuspid aortic valve and anomalous right coronary artery from the opposite sinus without evidence of intramural course. Different authors support the universal presence of intramural course in patients with origin of the right coronary artery from the opposite sinus of Valsalva in normal heart. The occurrence of both bicuspid aortic valve and the absence of intramural course may not be accidental. This might suggest a developmental interaction between bicuspid aortic valve and anomalous coronary artery. Large observational study including characterisation by intravascular ultrasonography in patients with bicuspid aortic valve and anomalous coronary is needed.

Perfusion Study Helps in the Management of the Intraseptal Course of an Anomalous Coronary Artery

2019 ◽  
Vol 10 (3) ◽  
pp. 360-363 ◽  
Author(s):  
Salvatore Agati ◽  
Aurelio Secinaro ◽  
Federica Caldaroni ◽  
Davide Calvaruso ◽  
Lucia Manuri ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Cardiac Death ◽  
Incidental Finding ◽  
Anomalous Coronary Artery ◽  
Perfusion Deficit ◽  
Sinus Of Valsalva ◽  
Perfusion Study ◽  
Aortic Sinus ◽  
Aggressive Surgical Approach ◽  
Anomalous Coronary

Anomalous origin of a coronary artery from the opposite aortic sinus of Valsalva can present in various ways, ranging from a benign and incidental finding to sudden cardiac death. The variant with an intraseptal subpulmonary course (sometimes referred to as intraconal), is widely perceived to carry a low risk of ischemia and has been considered to be a benign variant, not requiring surgical treatment. In one of our recent patients, however, nuclear scintigraphy highlighted a myocardial perfusion deficit in the territory supplied by the allegedly benign anomalous coronary artery, prompting the need for a more aggressive surgical approach.

Anomalous aortic origin of a coronary artery: a universally applicable surgical strategy

2010 ◽  
Vol 20 (S3) ◽  
pp. 44-49 ◽  
Author(s):  
Tom R. Karl ◽  
Sylvio C. J. Provenzano ◽  
Graham R. Nunn
Keyword(s):  
Coronary Artery ◽  
Left Pulmonary Artery ◽  
Ascending Aorta ◽  
Pulmonary Trunk ◽  
Cardiac Anomaly ◽  
Sinus Of Valsalva ◽  
The Right ◽  
Arterial Malformation ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries

AbstractThe most commonly reported coronary arterial malformation, in accounts of sudden deaths, is anomalous aortic origin of a coronary artery. Anomalous coronary arteries may arise from the left, right, or non-coronary sinuses of Valsalva. Importantly, although the left coronary artery from the right sinus has the worst prognosis, sudden death has been reported in all variants of origin from the various sinuses of Valsalva. This paper describes a technique that addresses all of the problems relating to anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva. This technique includes the transection of the ascending aorta and pulmonary trunk, coronary arterial enlargement with a pericardial patch, and lateral translocation of the pulmonary trunk to the left pulmonary artery. Anomalous aortic origin of a coronary artery from the wrong sinus of Valsalva is a potentially lethal cardiac anomaly that can be corrected in all cases using this simplified surgical technique that addresses the major anatomic and physiological problems.

Surgical Repair of Anomalous Coronary Arteries Arising from the Opposite Sinus of Valsalva in Infants and Children

2009 ◽  
Vol 24 (4) ◽  
pp. 466-469 ◽  
Author(s):  
Chawki elZein ◽  
Ziad Hanhan ◽  
Malek Massad ◽  
Mary-Jane Barth ◽  
Sunthorn Muangmingsuk ◽  
...  
Keyword(s):  
Coronary Arteries ◽  
Surgical Repair ◽  
Infants And Children ◽  
Sinus Of Valsalva ◽  
Anomalous Coronary ◽  
Anomalous Coronary Arteries ◽  
In Infants And Children
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