Stenosis in single coronary artery originating from right sinus of valsalva: asymptomatic upto sixth decade of life

Kasam Subramanyam; Guru Kiran Dangeti; Rangaraj R. Ramalingam; Nagraj S. Moorthy

doi:10.18203/2320-6012.ijrms20183669

Authors

Kasam Subramanyam Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka-560069, India
Guru Kiran Dangeti Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka-560069, India
Rangaraj R. Ramalingam Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka-560069, India
Nagraj S. Moorthy Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka-560069, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20183669

Keywords:

Anomalous left coronary artery, Percutaneous coronary intervention, Single coronary artery

Abstract

Among all coronary anomalies, the prevalence of single coronary artery (SCA) originating from right sinus of Valsalva is 1.3%. Here, we report a rare case of a 60-years-old male serendipitously diagnosed with SCA originating from right aortic sinus with pre-pulmonic course of anomalous left coronary artery (LCA). His angiogram revealed 90% stenosis in distal right coronary artery with normal anomalous LCA. Thus, the patient was treated with percutaneous coronary intervention using a stent and was found stable post-procedure.

Metrics

Metrics Loading ...

References

Mosca RS, Phoon CK. Anomalous aortic origin of a coronary artery is not always a surgical disease. InSeminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual. 2016;19(1):30-6. WB Saunders.

Carvalho BPA, Dos Santos MA, Neto G, Pedro W, De França JCQ, Braite MRdS, et al. Late Diagnosis of Anomalous Aortic Origin of a Coronary Artery from the Inappropriate Sinus of Valsalva during Investigation of Chest Pain. Case Reports in Cardiology 2018;2018.

Kehasukcharoen W, Tansuphaswadikul S, Saejueng B, Chantadansuwan T, Plainetr V. Percutaneous coronary intervention in patients with anomalous origin of coronary artery. J Med Assoc Thai. 2012;95:S77eS82.

Deibler AR, Kuzo RS, Vöhringer M, Page EE, Safford RE, Patton JN, Lane GE, Morin RL, Gerber TC. Imaging of congenital coronary anomalies with multislice computed tomography. InMayo Clinic Proceedings 2004;79(8):1017-23. Elsevier.

Dai J, Katoh O, Kyo E, Zhou XJ, Tsuji T, Watanabe S, et al. Percutaneous intervention in a patient with a single coronary artery arising from the right coronary sinus of Valsalva. Hellenic J Cardiol. 2014;55:427-32.

Lipton MJ, Barry WH, Obrez I, Silverman JF, Wexler L. Isolated single coronary artery: diagnosis, angiographic classification, and clinical significance. Radiology. 1979;130:39-47.

Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Catheterization and Cardiovascular Interventions. 1990;21:28-40.

De Rosa R, Ratti G, Gerardi D, Tedeschi C, Lamberti M. Single coronary artery originating from the right sinus Valsalva and ability to work. Annals Occupational Environmental Medicine. 2015;27:4.

Cademartiri F, La Grutta L, Malagò R, Alberghina F, Meijboom WB, Pugliese F, et al. Prevalence of anatomical variants and coronary anomalies in 543 consecutive patients studied with 64-slice CT coronary angiography. European Radiology. 2008;18:781-91.