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      Percutaneous coronary intervention of a single coronary artery arising from the right sinus of Valsalva

      case-report

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          Abstract

          Anomalous origin of the left main coronary artery from the right sinus of Valsalva is extremely rare when not associated with other congenital cardiac anomalies. In this report we present a patient with a single coronary ostium, with both the left and right coronary artery systems arising from it. The right coronary artery was found to contain a significant flow-limiting lesion that was successfully treated with percutaneous coronary intervention.

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          Coronary artery anomalies in 126,595 patients undergoing coronary arteriography.

          O Yamanaka, R. E. Hobbs (1990)
          Coronary artery anomalies were found in 1,686 patients (1.3% incidence) undergoing coronary arteriography at the Cleveland Clinic Foundation from 1960 to 1988. Of the 1,686 patients, 1,461 (87%) had anomalies of origin and distribution, and 225 (13%) had coronary artery fistulae. Most coronary anomalies did not result in signs, symptoms, or complications, and usually were discovered as incidental findings at the time of catheterization. Eighty-one percent were "benign" anomalies: 1) separate origin of the left anterior descending and circumflex from the left sinus of Valsalva; 2) ectopic origin of the circumflex from the right sinus of Valsalva; 3) ectopic coronary origin from the posterior sinus of Valsalva; 4) anomalous coronary origin from the ascending aorta; 5) absent circumflex; 6) intercoronary communications; and 7) small coronary artery fistulae. Other anomalies may be associated with potentially serious sequelae such as angina pectoris, myocardial infarction, syncope, cardiac arrhythmias, congestive heart failure, or sudden death. Potentially serious anomalies include: 1) ectopic coronary origin from the pulmonary artery; 2) ectopic coronary origin from the opposite aortic sinus; 3) single coronary artery; and 4) large coronary fistulae. Coronary artery anomalies require accurate recognition, and at times, surgical correction.
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            Coronary anomalies: incidence, pathophysiology, and clinical relevance.

            J Velasco, Scott Flamm, Paolo Angelini (2002)
            Article 0 comments Cited 170 times – based on 0 reviews     Review now
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              Isolated single coronary artery: diagnosis, angiographic classification, and clinical significance.

              Daniel Barry, M Lipton, I Obrez … (1978)
              Isolated single coronary artery is a rare congenital anomaly occuring in approximately 0.024% of the population. This entity can be diagnosed during life only by coronary angiography. Ten patients with isolated single coronary artery are reported. Based on angiographic analysis, a new classification is proposed, according to the site of origin and anatomical distribution of the branches. Typical angina did not occur with single coronary artery in the absence of coexisting coronary artery disease or aortic stenosis. No correlation was apparent between the type of anomalous patterns and the symptoms of angina.
              Article 0 comments Cited 98 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Vasc Health Risk Manag
                Journal ID (publisher-id): Vascular Health and Risk Management
                Title: Vascular Health and Risk Management
                Publisher: Dove Medical Press
                ISSN (Print): 1176-6344
                ISSN (Electronic): 1178-2048
                Publication date Collection: 2010
                Publication date (Print): 2010
                Publication date (Electronic): 25 November 2010
                Volume: 6
                Page: 1078
                Affiliations
                [1 ]Sakarya Education and Research Hospital, Cardiology Department, Sakarya, Turkey;
                [2 ]Ada Tip Private Hospital, Cardiology Department, Korucuk, Sakarya, Turkey
                Author notes
                Correspondence: Huseyin Gunduz, Sakarya Education and Research Hospital, Cardiology Department, Korucuk, 54100, Sakarya, Turkey, Tel +90 532 276 93 90, Fax +90 264 255 2466, Email drhuseyingunduz@ 123456yahoo.com
                Article
                Publisher ID: vhrm-6-1077
                DOI: 10.2147/VHRM.S13381
                PMC ID: 3004510
                PubMed ID: 21191427
                SO-VID: 27133793-be3e-48d5-9eeb-49b55ef10b0f
                Copyright © © 2010 Cakar et al, publisher and licensee Dove Medical Press Ltd.
                License:

                This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.

                History
                Date received : 24 November 2010
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Cardiovascular Medicine
                Keywords: single coronary artery,percutaneous coronary intervention
                Data availability:
                ScienceOpen disciplines: Cardiovascular Medicine
                Keywords: single coronary artery, percutaneous coronary intervention

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