Anomalous left coronary artery arising from the right sinus of Valsalva in a man with unstable angina pectoris and right coronary artery stenosis

被引：3

作者：

Rentoukas, E

Alpert, MA

Deftereos, S

Foukarakis, M

Nikas, D

Lazaros, G

Zacharoulis, A

机构：

[1] St Johns Mercy Med Ctr, Dept Med, St Louis, MO 63131 USA

[2] Athens Gen Hosp G Gennimatas, Dept Cardiol, Athens, Greece

来源：

AMERICAN JOURNAL OF THE MEDICAL SCIENCES | 2002年 / 323卷 / 04期

关键词：

left coronary artery; right sinus of Valsalva; coronary anomaly; intramyocardial course; myocardial ischemia;

D O I：

10.1097/00000441-200204000-00010

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 54-year-old man developed unstable angina pectoris and was found to have both an anomalous left coronary artery, which arose from the right sinus of Valsalva and followed an intramyocardial (septal) course, and severe atherosclerotic stenosis of the midright coronary artery. Stress perfusion imaging showed ischemia in the distribution of the right coronary artery, leading to successful percutaneous transluminal balloon angioplasty of the right coronary artery rather than surgical correction of the congenital anomaly.

引用

收藏

页码：223 / 226

页数：4

相关论文

共 20 条

[1] TRANSESOPHAGEAL ECHOCARDIOGRAPHIC DIAGNOSIS OF ANOMALOUS LEFT CORONARY-ARTERY FROM THE RIGHT AORTIC SINUS [J].

ALAM, M ;

BRYMER, J ;

SMITH, S .

CHEST, 1993, 103 (05) :1617-1618

[2] LEFT MAIN CORONARY-ARTERY ORIGINATING FROM THE RIGHT SINUS OF VALSALVA AND COURSING BETWEEN THE AORTA AND PULMONARY TRUNK [J].

BARTH, CW ;

ROBERTS, WC .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1986, 7 (02) :366-373

[3]

CHEITLIN MD, 1974, CIRCULATION, V50, P780, DOI 10.1161/01.CIR.50.4.780

[4]

DELIGONUL U, 1999, CARDIAC CATHERIZATIO, P310

[5] ANGIOGRAPHIC IDENTIFICATION OF PRIMARY CORONARY ANOMALIES CAUSING IMPAIRED MYOCARDIAL PERFUSION [J].

DONALDSON, RM ;

RAPHAEL, M ;

RADLEYSMITH, R ;

YACOUB, MH ;

ROSS, DN .

CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS, 1983, 9 (03) :237-249

[6] MAJOR VARIATIONS IN ANATOMICAL ORIGIN OF CORONARY-ARTERIES - ANGIOGRAPHIC OBSERVATIONS IN 4,250 PATIENTS WITHOUT ASSOCIATED CONGENITAL HEART-DISEASE [J].

ENGEL, HJ ;

TORRES, C ;

PAGE, HL .

CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS, 1975, 1 (02) :157-169

[7] CONGENITAL-MALFORMATIONS OF THE CORONARY-ARTERIES - THE TEXAS-HEART-INSTITUTE EXPERIENCE [J].

FERNANDES, ED ;

KADIVAR, H ;

HALLMAN, GL ;

REUL, GJ ;

OTT, DA ;

COOLEY, DA .

ANNALS OF THORACIC SURGERY, 1992, 54 (04) :732-740

[8] Anomalous origin of coronary arteries and risk of sudden death: A study based on an autopsy population of congenital heart disease [J].

Frescura, C ;

Basso, C ;

Thiene, G ;

Corrado, D ;

Pennelli, T ;

Angelini, A ;

Daliento, L .

HUMAN PATHOLOGY, 1998, 29 (07) :689-695

[9] ANOMALOUS ORIGIN OF EITHER THE RIGHT OR LEFT MAIN CORONARY-ARTERY FROM THE AORTA WITH SUBSEQUENT COURSING BETWEEN AORTA AND PULMONARY TRUNK - ANALYSIS OF 32 NECROPSY CASES [J].

KRAGEL, AH ;

ROBERTS, WC .

AMERICAN JOURNAL OF CARDIOLOGY, 1988, 62 (10) :771-777

[10] ABERRANT CORONARY-ARTERY ORIGIN FROM AORTA - DIAGNOSIS AND CLINICAL SIGNIFICANCE [J].

LIBERTHSON, RR ;

DINSMORE, RE ;

BHARATI, S ;

RUBENSTEIN, JJ ;

CAULFIELD, J ;

WHEELER, EO ;

HARTHORNE, JW ;

LEV, M .

CIRCULATION, 1974, 50 (04) :774-779