Anomaly of left coronary artery

Finesa Hasye✉, Yerizal Karani
DOI: https://doi.org/10.25077/mka.v41.i3.p143-151.2018

Abstract

Anomalies of the coronary artery are uncommon, with a reported incidence of 0.3% to 1.3% in the coronary angiography studies routinely performed for suspected atherosclerotic coronary disease. There were 0.92% incidence of anomalous origination of the right coronary artery from the left sinus and the 0.15% incidence of anomalous origination of the left coronary artery from the right sinus. Most coronary artery anomalies are diagnosed by invasive angiography performed to investigate suspected atherosclerotic coronary disease. There are two important managements for patient with anomaly coronary artery. First, these coronary anomalies should result in exclusion from participation in intense competitive sports to reduce the risk of a cardiac event or sudden death. Second, and more importantly, treatment for wrong sinus coronary artery anomalies are revascularization can be either surgical or percutaneous. Surgical intervention should be considered for high-risk varieties of anomalous coronary arteries, as this is the only treatment that has been demonstrated to improve coronary blood flow and carries a low morbidity and mortality.

Keywords

anomaly coronary artery; left coronary artery anomaly; management anomaly coronary artery

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References

Balaguer-Malfag JR, Estornell-Erill J, Vilar-Herrero JV, Pomar-Domingo F, Federico-Zaragoza P, Payá-Serrano R. Anomalous Left Coronary Artery from the Right Sinus of Valsalva Associated With Coronary Atheromatosis. Revista Brasileira de Cardiologia Invasiva. 2005; 58(11):1351-4. doi: 10.1016/S1885-5857(06)60423-4.

Farias DCC, Moreira ACV, Tavares JM, Correia JNF, Souza RS, Filho ARS. Anomalous Origin of the Left Coronary Artery from the Right Sinus of Valsalva. Revista Brasileira de Cardiologia Invasiva. 2013; 21(1):82-4. doi: 10.1016/S2214-1235(15)30110-1.

Carvalho MS, Gonçalves Pde A, Marques H, de Sousa PJ, Calé R, Dores H, et al. Anomalous origin of left coronary artery: A malignant interarterial variant with a benign clinical course. Rev Port Cardiol. 2012; 31(6):455-8. doi: 10.1016/j.repc.2011.11.010.

Malouf JF, Edwards WD, Tajik AJ, Seward JB. Functional Anatomy of the Heart. New York: McGraw-Hill; 2011.

Barriales-Villa R, Morís de la Tassa C. Congenital Coronary Artery Anomalies With Origin in the Contralateral Sinus of Valsalva: Which Approach Should We Take?. Rev Esp Cardiol. 2006; 59(4):360-70.

Cho HO, Cho KH, Jeong YS, Ahn SG, Choi SJ, Yoo JY, et al. Anomalous Origin of the Left Coronary Artery from the Right Sinus of Valsalva, which Presented as Acute Myocardial Infarction. Korean Circulation J. 2006; 36:817-819.

Kukreti V, Norozi K, Tweedie E, Killorn E. Anomalous origin of left main coronary artery from the right sinus of Valsalva leading to sudden death. Journal of Pediatric Intensive Care. 2012; 1(2):115–120.

Sloan K, Majdalany D, Connolly H, Schaff H. Inferior wall myocardial infarction caused by anomalous right coronary artery. Can J Cardiol. 2008; 24(12):102-103.

Poormoghaddas M, Abdi A, Fard OH. Anomalous origin of the left coronary artery from the right sinus of valsalva and sever mitral stenosis. ARYA Atheroscler. 2011; 6(4):149-152.

Angelini P. Coronary Artery Anomalies. Circulation. 2007; 115:1296-1305. doi: 10.1161/CIRCULATIONAHA.106.618082.



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