Atypical origin of the left coronary artery originating from the right coronary sinus with interarterial course: A case report
A left coronary artery with atypical origin originating from the right coronary sinus with interarterial course was found in a 68-year-old man, who had been referred to the hemodynamics unit for ventricular extrasystoles, observed on ECG, which raised suspicions of suspect coronary heart disease. At...
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| Published in: | Translational research in anatomy Vol. 31; p. 100242 |
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| Main Authors: | , , , , , , |
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| Abstract | A left coronary artery with atypical origin originating from the right coronary sinus with interarterial course was found in a 68-year-old man, who had been referred to the hemodynamics unit for ventricular extrasystoles, observed on ECG, which raised suspicions of suspect coronary heart disease.
Atypical origin was observed on a coronary angiography, and interarterial course was confirmed with a coronary CT.
The left coronary artery is observed arising from the right aortic sinus, in an ostium separated by 5 mm to the left of the right ostium. The left coronary trunk was 28 mm long, with eccentric calcium plaque in the distal third of the coronary trunk, and 50% stenosis. The right coronary artery was of normal caliber.
Atypical origin of the left coronary artery is a rare condition, normally associated with sudden death.
•A left coronary artery with abnormal origin originating from the right coronary sinus with interarterial course was found in a 68-year-old man.•The left coronary artery is observed arising from the sinus of Valsalva right, in an ostium separated by 5 mm to the left of the right ostium. Left coronary trunk 28 mm long.•The left coronary artery with interarterial course is considered a rare anomaly and is associated with sudden death.•Studies indicate that coronary artery embryology depends on vasculogenesis and possibly has genetic determinants. |
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| AbstractList | A left coronary artery with atypical origin originating from the right coronary sinus with interarterial course was found in a 68-year-old man, who had been referred to the hemodynamics unit for ventricular extrasystoles, observed on ECG, which raised suspicions of suspect coronary heart disease.
Atypical origin was observed on a coronary angiography, and interarterial course was confirmed with a coronary CT.
The left coronary artery is observed arising from the right aortic sinus, in an ostium separated by 5 mm to the left of the right ostium. The left coronary trunk was 28 mm long, with eccentric calcium plaque in the distal third of the coronary trunk, and 50% stenosis. The right coronary artery was of normal caliber.
Atypical origin of the left coronary artery is a rare condition, normally associated with sudden death.
•A left coronary artery with abnormal origin originating from the right coronary sinus with interarterial course was found in a 68-year-old man.•The left coronary artery is observed arising from the sinus of Valsalva right, in an ostium separated by 5 mm to the left of the right ostium. Left coronary trunk 28 mm long.•The left coronary artery with interarterial course is considered a rare anomaly and is associated with sudden death.•Studies indicate that coronary artery embryology depends on vasculogenesis and possibly has genetic determinants. Background: A left coronary artery with atypical origin originating from the right coronary sinus with interarterial course was found in a 68-year-old man, who had been referred to the hemodynamics unit for ventricular extrasystoles, observed on ECG, which raised suspicions of suspect coronary heart disease. Methods: Atypical origin was observed on a coronary angiography, and interarterial course was confirmed with a coronary CT. Results: The left coronary artery is observed arising from the right aortic sinus, in an ostium separated by 5 mm to the left of the right ostium. The left coronary trunk was 28 mm long, with eccentric calcium plaque in the distal third of the coronary trunk, and 50% stenosis. The right coronary artery was of normal caliber. Conclusions: Atypical origin of the left coronary artery is a rare condition, normally associated with sudden death. |
| ArticleNumber | 100242 |
| Author | Pérez-Rojas, Francisco Javier Opazo, Franco Sepulveda Lizama, Patricio Maragaño Vega, José A. Osorio, Claudio Tapia Maragaño, Maria Ignacia Castro, Trinidad Zerené |
| Author_xml | – sequence: 1 givenname: Francisco Javier orcidid: 0000-0001-9642-3558 surname: Pérez-Rojas fullname: Pérez-Rojas, Francisco Javier email: fjperez@ucm.cl organization: Facultad de Medicina, Universidad Católica del Maule, 3460000, Talca, Chile – sequence: 2 givenname: Patricio Maragaño surname: Lizama fullname: Lizama, Patricio Maragaño organization: Facultad de Medicina, Universidad Católica del Maule, 3460000, Talca, Chile – sequence: 3 givenname: Maria Ignacia surname: Maragaño fullname: Maragaño, Maria Ignacia organization: Facultad de Medicina, Universidad Católica del Maule, 3460000, Talca, Chile – sequence: 4 givenname: Franco Sepulveda surname: Opazo fullname: Opazo, Franco Sepulveda organization: Universidad Autónoma de Chile, Talca, Chile – sequence: 5 givenname: Claudio Tapia surname: Osorio fullname: Osorio, Claudio Tapia organization: Universidad Autónoma de Chile, Talca, Chile – sequence: 6 givenname: Trinidad Zerené surname: Castro fullname: Castro, Trinidad Zerené organization: Facultad de Medicina, Universidad Católica del Maule, 3460000, Talca, Chile – sequence: 7 givenname: José A. surname: Vega fullname: Vega, José A. organization: Departamento de Morfología y Biologia celular, grupo SIMPOS, Universidad de Oviedo, Spain |
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| Keywords | Coronary angiography Anatomical variations Left coronary artery Coronary vessels |
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| Snippet | A left coronary artery with atypical origin originating from the right coronary sinus with interarterial course was found in a 68-year-old man, who had been... Background: A left coronary artery with atypical origin originating from the right coronary sinus with interarterial course was found in a 68-year-old man, who... |
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| StartPage | 100242 |
| SubjectTerms | Anatomical variations Coronary angiography Coronary vessels Left coronary artery |
| Title | Atypical origin of the left coronary artery originating from the right coronary sinus with interarterial course: A case report |
| URI | https://dx.doi.org/10.1016/j.tria.2023.100242 https://doaj.org/article/b576672a9f304970b82c285cd4da89e6 |
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