Successfull challenging percutaneous coronary interventions in two patients with anomalous left coronary artery origin from the right sinus of Valsalva

Year 2013, , 93 - 95, 26.03.2013

Sabri Demircan , Serkan Yüksel

https://doi.org/10.5835/jecm.omu.30.01.022

Abstract

Congenital anomalies of the coronary arteries affect about 1.3% of individuals. One of the most commonly encountered anomalies involves the anomalous origination of a coronary artery from the opposite sinus of Valsalva. The incidence of ectopic left coronary artery arising from the right sinus of Valsalva was found between 0.017-0.15% in coronary angiography and autopsy series. Catheter-based revascularization of anomalous artery is a therapeutic challenge and needs experience. In this case report, we demonstrated successful percutaneous coronary interventions to anomalous left main coronary artery osteal lesion and proximal lesion in anomalous left anterior descending artery in two patients with anomalous left coronary artery origin from right sinus of Valsalva. 

Keywords

Anomalous left coronary artery, Coronary artery disease, Congenital coronary anomaly, Percutaneous coronary intervention

References

• Baltaxe, H.A., Wixson, D., 1977. The incidence of congenital anomalies of the coronary arteries in the adult population. Radiology 122, 47-52. Chaitman, B.R., Lesperance, J., Saltiel, J., Bourassa, M.G., 1976. Clinical, angiographic, and hemodynamic findings in patients with anomalous origin of the coronary arteries. Circulation. 53, 122-131.
• Cheitlin, M.D., De Castro, C.M., McAllister, H.A., 1974. Sudden death as a complication of anomalous left coronary origin from the anterior sinus of Valsalva: A not-so-minor congenital anomaly. Circulation. 50, 780-787.
• Click, R.L., Holmes, D.R., Vlietstra, R.E., Kosinski, A.S., Kronmal, R.A., 1989. Anomalous coronary arteries: Location, degree of atherosclerosis and effect on survival-a report from the Coronary Artery Surgery Study. J. Am. Coll. Cardiol. 13, 531-537.
• Earls, J.P., 2006. Coronary artery anomalies. Tech Vasc Interv Radiol. 9, 210-217.
• Engel, H.J., Torres, C., Page, H.L., 1975. Major variations in anatomical origin of the coronary arteries: Angiographic observations in 4,250 patients without associated congenital heart disease. Catheter Cardiovasc. Diagn. 1, 157-169.
• Garg, N., Tewari, S., Kapoor, A., Gupta, D.K., Sinha, N., 2000. Primary congenital anomalies of the coronary arteries: A coronary arteriographic study. Int. J. Cardiol. 74, 39-46.
• Kimbiris, D., Iskandrian, A.S., Segal, B.L., Bemis, C.E., 1978. Anomalous aortic origin of coronary arteries. Circulation. 58, 606-615.
• Levin, D.C., Fellows, K.E., Abrams, H.L., 1978. Hemodynamically significant primary anomalies of the coronary arteries. Angiographic aspects. Circulation. 58, 25-34.
• Liberthson, R.R., Dinsmore, R.E., Fallon, J.T., 1979. Aberrant coronary artery origin from the aorta. Report of 18 patients, review of literature and delineation of natural history and management. Circulation. 59, 748-754.
• Mirchandani, S., Phoon, C.K., 2005. Management of anomalous coronary arteries from the contralateral sinus. Int. J. Cardiol. 102, 383-389.
• Nef, H.M., Mollmann, H., Mollmann, S., Dill, T., Hamm, C.W., Elsasser, A., 2007. Primary stenting of the left main coronary artery with anomalous origin from the right sinus of Valsalva. Int. J. Cardiol. 114, 137-138.
• Tejada, J.G., Hernandez, F., Sanchez, I., Martin-Asenjo, R., 2007. Stenting of anomalous left main coronary artery arising from the right sinus of Valsalva: A case report. Int J Cardiol. 119, 266-267.
• Yamanaka, O., Hobbs, R.E., 1990. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Catheter Cardiovasc Diagn. 21, 28-40.