Primary stenting of an anomalous left main coronary artery originating from the right sinus of Valsalva during acute myocardial infarction
Öz
Anomalous origin of left and right coronary arteries from a single coronary ostium in the right sinus of Valsalva is rare. Previously, few reports have described percutaneous coronary interventions (PCI) in this anomaly. We report a case of a 78-year-old female who had acute inferior myocardial infarction with a severe lesion in the anomalous left main coronary artery (LMCA) arising from a single ostium in the right sinus of Valsalva.
Key words: Coronary artery anomaly, single coronary artery, acute myocardial infarction, Primary PCI
Anahtar Kelimeler
Coronary artery anomaly single coronary artery acute myocardial infarction Primary PCI
Kaynakça
- Desmet W, Vanhaecke J, Vrolix M, et al. Isolated single coronary artery: a review of 50,000 consecutive coronary angiographies. Eur Heart J 1992; 13:1637-1640.
- Kurşaklıoğlu H, İyisoy A, Köse S, et al. Sağ sinüs valsalvadan çıkan tek koroner arter (Olgu Sunumu). Gülhane Tıp Dergisi 2002; 44:442-443.
- Lipton MJ, Barry WH, Obrez I, et al. Isolate single coronary
- artery: diagnosis, angiographic classification, and clinical
- significance. Radiology 1979; 130:39-47.
- Cheitlin MD, De Castro CM and McAllister HA: Sudden
- death as a complication of anomalous left coronary origin
- from the anterior sinus of Valsalva, A not-so-minor congenital anomaly. Circulation 1974; 50:780-787.
- Taylor AJ, Rogan KM and Virmani R. Sudden cardiac death
- associated with isolated congenital coronary artery anomalies. J Am Coll Cardiol 1992 20: 640-647.
- Basso C, Maron BJ, Corrado D, et al. Clinical profile of
- congenital coronary artery anomalies with origin from the
- wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol 2000;35:1493-1501.
- Maron BJ, Gohman TE and Aeppli D. Prevalence of sudden cardiac death during competitive sports activities in Minnesota high school athletes. J Am Coll Cardiol 1998; 32:1881-1884.
- Angelini P, Velasco JA, Flamm S. Department of adult cardiology, ıncidence, pathophysiology and clinical relevance.
- Circulation 2002; 105:2449-2454.
- Porto I, Banning AP. Unstable angina in a patient with single
- coronary artery. Heart 2004;90:858.
- Gleeson T, Thiessen R, Wood D, et al. Single coronary artery from the right aortic sinus of Valsalva with anomalous pre pulmonic course of the left coronary artery. Can J Cardiol 2009; 25:136-138.
- Özer N, Tangürek B, Tartan Z, et al. A rare coronary anomaly detected during primary percutaneous coronary angioplasty: totally occluded left main coronary artery originating from the right coronary artery. Turk Kardiyol Dern Ars 2008; 36:184-186.
- Şimşek H, Şahin M, İşlek M, et al. Anomaly of left main
- coronary artery arising from the right sinus of valsalva. J Clin Exp Invest 2011; 2:225-227.
- Işık T, Uyarel H, Ergelen M, et al. Short and long term outcomes of primary angioplasty in patients aged 75 years and
- over. Dicle Med J 2011; 38:189-196.
Akut miyokardiyal enfarktüsü esnasında sağ sinus Valsalva’dan köken alan anormal sol ana koroner artere primer stent uygulanması
Öz
Sağ Valsalva sinüsünden çıkan tek koroner arterden kaynaklanan anormal çıkışlı sol ve sağ koroner arterler oldukça nadirdir. Daha önceden böyle anomalili vakalarda, az sayıda perkütan koroner girişim (PKG) tanımlanmıştır. Biz akut inferior miyokart enfarktüslü, sağ Valsalva sinüsünden kaynaklanan ve ciddi lezyonu olan anormal sol ana koroner artere sahip 78 yaşında kadın vakayı bildiriyoruz
Anahtar Kelimeler
Koroner arter anomalisi tek koroner arter akut miyokard enfarktüsü primer PKG
Kaynakça
- Desmet W, Vanhaecke J, Vrolix M, et al. Isolated single coronary artery: a review of 50,000 consecutive coronary angiographies. Eur Heart J 1992; 13:1637-1640.
- Kurşaklıoğlu H, İyisoy A, Köse S, et al. Sağ sinüs valsalvadan çıkan tek koroner arter (Olgu Sunumu). Gülhane Tıp Dergisi 2002; 44:442-443.
- Lipton MJ, Barry WH, Obrez I, et al. Isolate single coronary
- artery: diagnosis, angiographic classification, and clinical
- significance. Radiology 1979; 130:39-47.
- Cheitlin MD, De Castro CM and McAllister HA: Sudden
- death as a complication of anomalous left coronary origin
- from the anterior sinus of Valsalva, A not-so-minor congenital anomaly. Circulation 1974; 50:780-787.
- Taylor AJ, Rogan KM and Virmani R. Sudden cardiac death
- associated with isolated congenital coronary artery anomalies. J Am Coll Cardiol 1992 20: 640-647.
- Basso C, Maron BJ, Corrado D, et al. Clinical profile of
- congenital coronary artery anomalies with origin from the
- wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol 2000;35:1493-1501.
- Maron BJ, Gohman TE and Aeppli D. Prevalence of sudden cardiac death during competitive sports activities in Minnesota high school athletes. J Am Coll Cardiol 1998; 32:1881-1884.
- Angelini P, Velasco JA, Flamm S. Department of adult cardiology, ıncidence, pathophysiology and clinical relevance.
- Circulation 2002; 105:2449-2454.
- Porto I, Banning AP. Unstable angina in a patient with single
- coronary artery. Heart 2004;90:858.
- Gleeson T, Thiessen R, Wood D, et al. Single coronary artery from the right aortic sinus of Valsalva with anomalous pre pulmonic course of the left coronary artery. Can J Cardiol 2009; 25:136-138.
- Özer N, Tangürek B, Tartan Z, et al. A rare coronary anomaly detected during primary percutaneous coronary angioplasty: totally occluded left main coronary artery originating from the right coronary artery. Turk Kardiyol Dern Ars 2008; 36:184-186.
- Şimşek H, Şahin M, İşlek M, et al. Anomaly of left main
- coronary artery arising from the right sinus of valsalva. J Clin Exp Invest 2011; 2:225-227.
- Işık T, Uyarel H, Ergelen M, et al. Short and long term outcomes of primary angioplasty in patients aged 75 years and
- over. Dicle Med J 2011; 38:189-196.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 9 Temmuz 2015 |
| Gönderilme Tarihi | 9 Temmuz 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 42 Sayı: 2 |