For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
20
views
10
references
 Top references
cited by
5
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      197
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Anomalous Origin of the Right Coronary Artery from the Midportion of the Left Anterior Descending Artery: A Rare Coronary Anomaly

      case-report

      Read this article at

      ScienceOpenPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          The anomalous origin of the right coronary artery (RCA) as a branch from the left anterior descending artery (LAD) is a very rare variation of the single coronary artery anomaly. The anomalous vessel arises from the proximal or midportion of the LAD and courses anterior to the pulmonary artery trunk in most instances. In this case report, a 61-year-old woman is introduced who underwent coronary angiography following inferoposterior myocardial infarction, in which an anomalous RCA was seen originating from the midportion of the LAD. There was also a separate small artery originating from the right coronary sinus, which was most probably a right atrial branch.

          Related collections

          Most cited references10

          • Record: found
          • Abstract: found
          • Article: not found

          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.
          Article 0 comments Cited 384 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Anomalous origin of the right coronary artery from the left anterior descending artery: review of the literature.

            Mustafa Yurtdaş, Oktay Gülen (2012)
            Coronary artery anomalies that take place during fetal development are determined in approximately 1.3% of coronary angiograms. The right coronary artery originating from the left coronary system is an extremely rare variation of the single coronary artery anomaly in which the prognosis is usually benign provided that the anomalous vessel dose not pass between the aorta and the pulmonary artery. Anomalous right coronary artery anomaly has been rarely associated with other congenital cardiovascular anomalies such as transposition of the great vessels and tetralogy of Fallot. To date, a few attempts at classification have been made for coronary artery anomalies, but none of them seems comprehensive or practical for clinicians. The clinical significance of coronary anomalies is usually determined by underlying anatomic features of the wrong coronary origin and/or coronary atherosclerosis. Although coronary angiography is an important diagnostic method, new non-invasive methods such as coronary computed tomography angiography and cardiac magnetic resonance imaging have important roles to play in characterizing this coronary anomaly. It should be noted that the management strategy of these patients may vary based on clinical presentation, anatomical details and additional findings.
            Article 0 comments Cited 20 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Anomalous right coronary artery originating from the left anterior descending artery: case report and review of the literature.

              Joel Wilson, Hassan Reda, John C. Gurley (2009)
              The anomalous origin of the right coronary artery (RCA) as a branch of the left anterior descending (LAD) artery is a very rare variation of single coronary artery. At least 36 cases have been described previously in the literature. The vast majority of previous reports have described a single anomalous vessel with its origin after the first septal perforator of the LAD, which courses anterior to the right ventricular outflow tract to reach territory normally served by the right coronary artery. Of 35 cases in structurally normal hearts, 19 (54%) patients had >50% narrowing in one or more epicardial coronary arteries (54%), at least 14 (40%) of whom required revascularization. Thirteen cases (37%) did not have significant coronary artery disease, while the remaining 3 cases were unclear. The current report reviews previous reports of this anomaly and describes a patient with an anomalous RCA from the mid-LAD, in whom heart block, back pain and dyspnea was the initial manifestation of ischemia. On heart catheterization, there was significant coronary artery disease in the LAD proximal to the origin of the anomalous artery. The patient was successfully revascularized with a unique sequential left internal mammary artery bypass to the anomalous vessel and LAD.
              Article 0 comments Cited 11 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): J Tehran Heart Cent
                Journal ID (iso-abbrev): J Tehran Heart Cent
                Journal ID (publisher-id): JTHC
                Title: The Journal of Tehran University Heart Center
                Publisher: Tehran University of Medical Sciences, 2006- (Tehran, Iran )
                ISSN (Print): 1735-5370
                ISSN (Electronic): 2008-2371
                Publication date (Print): 6 July 2016
                Volume: 11
                Issue: 3
                Pages: 149-152
                Affiliations
                [1] Atherosclerosis Prevention Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
                Author notes
                [* ]Corresponding Author: Arash Gholoobi, Assistant Professor of Interventional Cardiology, Department of Cardiology, Imam Reza Hospital, Ebne Sina Ave., Mashhad, Iran. 9137913316. Tel: +98 51 38544504. Fax: +98 51 38544504. gholoobia@ 123456mums.ac.ir.
                Article
                Publisher ID: JTHC-11-149
                PMC ID: 5148818
                PubMed ID: 27956915
                SO-VID: 4185d4bf-93eb-46f7-9ffa-ec319992b711
                Copyright © Copyright © 2015 Tehran Heart Center, Tehran University of Medical Sciences
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, ( http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 7 December 2014
                Date accepted : 10 June 2015
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Cardiovascular Medicine
                Keywords: congenital abnormalities,coronary vessels,coronary angiography,inferior wall myocardial infarction
                Data availability:
                ScienceOpen disciplines: Cardiovascular Medicine
                Keywords: congenital abnormalities, coronary vessels, coronary angiography, inferior wall myocardial infarction

                Comments

                Comment on this article

                Similar content197

                See all similar

                Cited by5

                See all cited by

                Most referenced authors67

                See all reference authors