- 期刊
- OpenAccess
Anomalies Origin of the Right Coronary Artery from the Left Coronary Sinus and Coursing between the Pulmonary Artery and Aorta Associated with Mitral Stenosis
並列摘要
Introduction: Coronary arteries anomalies are congenital. Usually, they are asymptomatic. They are found during the coronary angiography or computed tomography angiography. The most common coronary anomaly is separated origin of left anterior descending coronary artery and left circumflex artery coronary artery. Usually, it is a benign anomaly. Case Report: A 54-year-old male was admitted at the service of cardiology. Twenty-five years ago he was diagnosed with mitral stenosis and five years ago as having a thrombotic cerebrovascular accident. Electrocardiogram showed atrial fibrillation Trans-thoracic echocardiography showed calcified mitral stenosis, with an anatomical area of 1.1 cm^2. The patient was treated with oral anticoagulants (acenocumarol), beta-blockers (atenolol), and diuretics (hydrochlorothiazide plus spironolactone). The patient underwent coronary angiography which showed a 75% stenosis of the right coronary artery. The origin and course of right coronary artery was abnormal and thus a CT angiography was performed. The CT angiography confirmed that the origin of the right coronary artery was from the left coronary sinus and that the artery coursed between the aorta and the pulmonary artery. Under these circumstances, the patient was transferred to cardiac surgery where the mitral valve replacement and coronary artery bypass graft surgery were performed. The inhospital course was uneventful. The patient was free shortness of breath and chest pain (angina). One month later CT angiography was repeated. The patient remained symptom-free and in good health status. Conclusion: The case highlights this anomaly and its potential association with mitral stenosis.
延伸閱讀
- Binyousef, R. F., Habib, F. K., & Althobaiti, M. W. (2016). Left main coronary artery originating from the non-coronary sinus: A rare low-risk coronary anomaly. International Journal of Case Reports and Images (IJCRI), 7(3), xiii+195-197. https://doi.org/10.5348/ijcri-201604-CL-10097
- Chang, H. Y., & Yin, W. H. (2011). Anomalous Right Coronary Artery Arising from Left Coronary Sinus in Two Brothers. Acta Cardiologica Sinica, 27(2), 124-127. https://www.airitilibrary.com/Article/Detail?DocID=10116842-201106-201107070022-201107070022-124-127
- Chou, Y. C., Wei, J., & Huang, Y. S. (2021). Perioperative Concerns of Anomalous Origin of the Left Main Coronary Artery From the Pulmonary Artery. Asian Journal of Anesthesiology, 59(1), 35-36. https://doi.org/10.6859/aja.202103_59(1).0004
- Chou, Y. C., Wei, J., & Huang, Y. S. (2019). Perioperative Concerns of Anomalous Origin of the Left Main Coronary Artery From the Pulmonary Artery. Asian Journal of Anesthesiology, (), 1-2. https://doi.org/10.6859/aja.202101/PP.0005
- Swaminath, D., Panikkath, R., Strefling, J., Rosales, A., Narayanan, R., & Wischmeyer, J. (2013). Anomalous Right Coronary Artery from Left Main Coronary Artery and Subsequent Coursing between Aorta and Pulmonary Trunk. Case Reports in Medicine, 2013(), 97-99-022. https://doi.org/10.1155/2013/195026