Nadir Bir Olgu: Interarterial Seyir Gösteren Anormal Orjinli Sağ Koroner Arter

Year 2024, Volume: 4 Issue: 2, 74 - 77, 22.08.2024

Eren Tobcu , Zeynep Tobcu , Erdal Karavaş

https://doi.org/10.58961/hmj.1527889

Abstract

Koroner arterlerin karş sinüs Valsalva’dan köken alma anomalileri özellikle genç hastalarda ani kardiyak ölüme yol açabilen bozukluklardır.
Bu çalışmada, sağ koroner arterin sol sinus Valsalva’dan köken aldığı (ARCA) 41 yaşında bir erkek hastayı sunuyoruz.
Çok kesitli bilgisayarlı tomografi (ÇKBT) teknolojisinde son dönemlerde meydana gelen gelişmeler, tetkik sürelerinin kısalmasını, tetkik başı ihtiyaç duyulan kontrast madde miktarının ve radyasyon maruziyetinin azalmasını sağlamıştır. Bu gelişmeler ile birlikte ÇKBT, ARCA gibi koroner arter anomalileri tanısında tercih edilecek ilk radyolojik yöntem olarak kullanılabilir.

Keywords

Anormal orijin, sağ koroner arter, koroner bilgisayarlı tomografi anjiyografi, ani kardiyak ölüm.

Ethical Statement

Disclosures: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

A Rare Case of Anomalous Origin of the Right Coronary Artery with Interarterial Course

Abstract

Anomalous aortic origin of the coronary artery from the opposite sinus of Valsalva (AAOCA) is an established risk factor for sudden cardiac death, particularly in young adults.
In this paper, we present a case of 41-years-old male patient with anomalous origin of the right coronary artery (ARCA) from left sinus of Valsalva.
Recent developments in multidetector computed tomography (MDCT) technology have effectively decreased the duration of imaging, the amount of contrast media required, and the level of radiation exposure. MDCT can serve as an initial radiological technique for diagnosing coronary anomalies like ARCA.

Keywords

Anomalous origin, right coronary artery, coronary computed tomography angiography, sudden cardiac death.

Ethical Statement

Disclosures: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

References

• Fujimoto S, Kondo T, Orihara T, et al. Prevalence of anomalous origin of coronary artery detected by multi-detector computed tomography at one center. J Cardiol. 2011;57(1):69-76.
• Chua F, Vongbunyong K, Urgun DA, Ghashghaei R. Anomalous origin of left main coronary artery from the right sinus of Valsalva. BMC Cardiovasc Disord. 2023;23(1):618.
• Öztürk E. Coronary artery variations. Türkiye Klinikleri. J Radiol-Special Topics 2011; 4: 13-8.
• Angelini P. Normal and anomalous coronary arteries: definitions and classification. Am Heart J. 1989;117(2):418-434.
• Mainwaring RD, Reddy VM, Reinhartz O, Petrossian E, Punn R, Hanley FL. Surgical repair of anomalous aortic origin of a coronary artery. Eur J Cardiothorac Surg. 2014;46(1):20-26.
• Stout KK, Daniels CJ, Aboulhosn JA, Bozkurt B, Broberg CS et al. 2018 AHA/ACC Guideline for the Management of Adults with Congenital Heart Disease. A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation 2019; 139:e698-e800.
• Lee HJ, Hong YJ, Kim HY, et al. Anomalous origin of the right coronary artery from the left coronary sinus with an interarterial course: subtypes and clinical importance. Radiology. 2012;262(1):101-108.
• Kim SY, Seo JB, Do KH, et al. Coronary artery anomalies: classification and ECG-gated multi-detector row CT findings with angiographic correlation. Radiographics 2006;26:317—33.
• Yanes-Bowden G, De la Rosa Hernández A, Vargas-Torres MJ, et al. Severe ischemia in an elderly patient with anomalous origin of the right coronary artery from the left main. J Am Coll Cardiol. 2009;53(7):633.
• Angelini P, Velasco JA, Ott D, Khoshnevis GR. Anomalous coronary artery arising from the opposite sinus: descriptive features and pathophysiologic mechanisms, as documented by intravascular ultrasonography. J Invasive Cardiol. 2003;15(9):507-514.
• Schmitt R, Froehner S, Brunn J, et al. Congenital anomalies of the coronary arteries: imaging with contrast-enhanced multidetector computed tomography. Eur Radiol 2005; 15: 1110-21.
• Raikar M, Khanal P, Haider T, Gajanana D. A Malignant Course of Anomalous Right Coronary Artery Arising From Left Coronary Cusp Presenting With Exertional Syncope. Cureus. 2022;14(6):e25922.