Anomalous Left Coronary Artery from Right Sinus of Valsalva: An Anomaly with Fatal Outcomes

Article Information

Article Type: Case Report

Citation: Awan MU, Quraishi MB, Wadiwala N, Reddy N (2015) Anomalous Left Coronary Artery from Right Sinus of Valsalva: An Anomaly with Fatal Outcomes. J Heart Health, Volume1.1: http://dx.doi.org/10.16966/jhh.101

Copyright: © 2015 Awan MU, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Publication history:

 Received date: 15 December, 2014.

 Accepted date: 5 January 2015.

 Published date: 12 January 2015.

Authors :
Muhammad Umer Awan : Resident Physician, Department of Internal Medicine Seton Hall University, St Francis Medical Center, Trenton, NJ, USAMuhammad Bilal Quraishi : Cardiology Fellow, Department of Cardiovascular Medicine, Kettering Medical and Veterans Affairs Medical Center Dayton, Ohio, USANicky Wadiwala : Cardiology Fellow, Department of Cardiovascular Medicine, Kettering Medical and Veterans Affairs Medical Center Dayton, Ohio, USANiranjan Reddy : Associate Program Director Cardiology Fellowship, Kettering Medical and Veterans Affairs Medical Center Dayton, Ohio, USA

Abstract

Coronary anomalies are not uncommon. Patients with coronary anomalies can have a wide array of resentations varying from chest pain to sudden cardiac death. In this case, a middle-aged woman presented with atypical hest pain and was admitted for unstable angina. Cardiac catheterization identified an anomalous origin of the left coronary artery from the right coronary sinus. CT angiogram identified a high-risk course. The patient’s chest ain was attributed to anomalous origin of the left coronary artery with subsequent compression due to inter-arterial course between the aorta and pulmonary trunk. She underwent successful surgical revascularization with left internal mammary artery to left anterior descending with resolution of symptoms.
  

Figure 1. LAO Cranial view of RCA and anomalous origin of left coronary artery from opposite sinus

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