Aberran Sað Ventriküler Koroner Arter : Olgu Sunumu ABERRANT RIGHT VENTRICULAR CORONARY ARTERY : CASE REPORT (original) (raw)
Related papers
Anomalous Origin and Inter-Arterial Course of the Right Coronary Artery: A Case Series
Journal of Clinical and Analytical Medicine, 2017
Radyoloji kliniğimizde, Kasım 2014 ve mayıs 2016 tarihleri arasında göğüs ağrısını, koroner revaskülarizasyon prosedüründen sonra koroner arteri ve olası koroner arter anomalilerini değerlendirmek için amacıyla refere edilen 1200 hastaya ÇKBT yapıldı. BT anjiyografi yapılan hastalar arasından koroner anomalisi olan hastalar değerlendirildi. Toplam x sayıda hastada koroner anomali olduğu gözlendi. Bu hastaların altısında (erkek:3, kadın:3) anormal orjinli RCA saptandı. Olguların özgeçmişinde anormal çıkışlı RCA kaynaklı MI veya iskemi nedenli hastaneye başvuru yoktu. Tüm hastaların ekokardiyografileri doğaldı. ÇKBT' de sol koroner arter orjinine yakın fakat ayrı olarak, sol sinüs valsalvadan orjin alan sağ koroner arter izlendi (resim 1). Tüm hastalarda RCA' nın proksimal kesimi, aorta ve pulmoner arter arasında interarteryal seyir göstermekteydi (resim 2). ÇKBT' de anormal orjinli RCA' da perkütan koroner girişim gerektirecek anlamlı stenoz saptanmadı. Olguların tamamı medikal olarak tedavi edildi ve yaklaşık yirmi dört aylık izlem sonrasında, kötü kardiyak bir olay görülmedi.
Anomalous Origin and Course of the Right Coronary Artery
Circulation, 2006
C oronary anomalous origin from the wrong aortic sinus has been thought to be a risk factor for ischemia because of acute takeoff from the aorta and flow between the aorta and the pulmonary artery. 1-4 A 30-year-old man suddenly died within an hour of waking. His clinical history revealed no evidence of any disease, and the postmortem toxicological examination was negative. Autopsy ruled out violent or natural noncardiac causes of death and revealed an underlying congenital heart disease, which was characterized by a congenital bicuspid aortic valve and an anomalous origin of the right coronary artery just above the median raphe of the anterior cusp ( ).
Anomalous Origin of Right Coronary Artery
Journal of Computer Assisted Tomography, 2004
A routine transthoracic echocardiogram (TTE) was performed in a 72-year-old woman with signs and symptoms of heart failure. The 2D TTE images revealed an enlarged right coronary artery (RCA) with reverse flow draining into the pulmonary trunk and the presence of dilated septal vessels ). Coronary angiography and MRI confirmed the previous echocardiographic findings . Accordingly, surgical ligation of the RCA was carried out. Before ligation, an intraoperative transesophageal echocardiogram and direct visualization revealed grossly dilated coronary arteries (14 to 16 mm in diameter) and numerous fistulas over the anterior surface of the left ventricle and next to the right atrioventricular groove . The RCA was ligated proximally, and a bypass with an inverted saphenous vein was constructed between the aorta and the RCA just distal to the ligation. Sequential Doppler flow velocity assessment of the RCA before ligation and of the saphenous vein graft disclosed an increase in diastolic velocity and a reduction in systolic and retrograde flow velocity after RCA ligation . The postoperative course was uncomplicated, and the patient was discharged on postoperative day 7.
International Journal of Science and Research (IJSR), 2020
Objective: Perform a literature review on the importance of diagnosis and treatment in the right coronary artery anomaly. Methods: This is a bibliographic review through scientific publications related to the theme on the importance of diagnosis and treatment in the right coronary artery anomaly. The inclusion criteria for the articles were established as follows: to be a research article published in national journals in Portuguese, English and Spanish between 2015 and 2020. The databases used to research the topic were: LILACS (Latin American and Caribbean Literature in Social and Health Sciences) and Scielo (Scientific Eletronic Library Online) for data collection, based on the following descriptors: Anomaly, Coronary, Diagnosis. Bibliographic Review: Anomalies in the coronary arteries are called congenital changes according to their origin, course and disposition of the epicardial coronary arteries. Anomalies are categorized according to the parameters of clinical complication. In cases of anomalies of the right coronary artery, where there are no responsible epicardial arteries that irrigate the territories dependent on the anterior and circumflex descendant, which associated with age and other factors of the symptoms makes this case rare. Conclusion: This study allows to conclude that it is possible the anomalies of the coronary arteries are rare, being able to be asymptomatic and it is a pathology that affects a portion of young athletes, with a healthy history.
Anomaly of left coronary artery
Majalah Kedokteran Andalas, 2018
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 c...
Anomalous origin of the left coronary artery from the pulmonary artery in an elderly patient
Turk Kardiyoloji Dernegi arsivi: Turk Kardiyoloji Derneginin yayin organidir
Bland-White-Garland sendromu olarak da bilinen sol koroner arterin pulmoner arterden çıkış anomalisi (ALCAPA), çok nadir görülen bir doğuştan anomalidir. Tedavi edilmediği takdirde, ALCAPA sendromu çoğunlukla miyokard iskemisi ve kalp yetmezliği nedeniyle yaşamın ilk yılında yüksek mortalite ile seyreder. Erişkin hastaların birçoğu asemptomatik olabilir ya da bu hastalarda anjina, nefes darlığı, baygınlık, miyokard enfarktüsü, aritmi veya ani kardiyak ölüm görülebilir. Malign ventriküler aritmilere sekonder ani kardiyak ölüm, bu hasta grubunda en sık görülen durumdur. Bu yazıda, aktif bir sporcu olan ve atipik yakınmaları olan 36 yaşında bir erkek olgu sunuldu. Transtorasik ekokardiyografide pulmoner arterde tanımlanamayan türbülans tespit edilmesi üzerine yapılan koroner anjiyografide ALCAPA sendromu saptandı. Anah tar söz cük ler: Erişkin; koroner anjiyografi; koroner arter anomalisi.
Anomalous origin of all three coronary arteries from right sinus of Valsalva
Indian Heart Journal, 2016
Congenital anomalies of the coronary arteries, although uncommon, could cause serious myocardial damage, ischemic cardiomyopathy, and sudden cardiac death. The anomalous origin of coronary artery has an incidence ranging from 0.03% to 5.64%. 1 [ 6 _ T D $ D I F F ] These anomalies vary with respect to number, location, orientation of the ostia, and origin of the coronary arteries. Some anomalies are merely anatomic variants without clinical relevance, while others may be life threatening. The ectopic origin of the left coronary artery from the right sinus of Valsalva is even rarer, occasionally associated to potentially serious sequelae. It has been reported that this type of anomaly is observed in approximately [ 1 4 _ T D $ D I F F ] 0.08% of the population with an anomalous coronary artery[ 1 5 _ T D $ D I F F ]. 2 2. Case report A 58-year-old Caucasian man was admitted to our hospital complaining of worsening chest pain at rest, accompanied by diaphoresis. His risk factors for atherosclerosis were a history of smoking, diabetes type II and family history of coronary artery disease. He had also chronic obstructive pulmonary disease on oxygen treatment at home. In the emergency room of our hospital, his blood pressure and heart rate were normal. A 12-lead electrocardiogram showed nonspecific ST-T wave abnormalities. He had elevated cardiac Troponin (5.46 ng/L, normal <0.04 ng/L) and no other significant abnormalities were detected in his blood test. Echocardiography revealed preserved left ventricle systolic function with concentric left ventricle hypertrophy and no abnormalities of wall kinesis. Diagnosis of [ 1 7 _ T D $ D I F F ] non-ST elevated myocardial infarction was made and emergent cardiac catheterization was performed because of the persistent chest pain. A 6 [ 1 8 _ T D $ D I F F ] Fr Left Judkins and after 6 Fr Amplatz left 2 catheter were engaged unsuccessfully in the left sinus of Valsalva. Angiography showed therefore no vessels originating from the left coronary sinus of Valsalva. Right sinus was instead successfully cannulated and visualized with a 6 Fr Right Judkins catheter. At this time, we noticed that left anterior descending artery (LAD) and left circumflex artery (LCX) originated both from the right sinus of Valsalva [ 1 9 _ T D $ D I F F ] (Fig. 1). No left main coronary artery (LMCA) was demonstrated. The right coronary artery (RCA) was dominant and had moderate stenosis on the first segment of the mid tract. The LAD showed a subtotal occlusive lesion in its mid portion. A Sion blue guidewire was passed through the LAD artery and the culprit lesion on the LAD was stented successfully with two Sirolimus DES in overlap [ 2 0 _ T D $ D I F F ] (3.5 mm  16 mm and 3.5 mm  20 mm). Final angiography demonstrated TIMI 3 flow [ 2 1 _ T D $ D I F F ] (Fig. 2). The patient's chest symptom fully resolved after the intervention. He followed an uneventful hospital course and consequently discharged in good clinical conditions on the fifth day of his hospitalization.