Congenital anomaly of coronary artery: absence of left circumflex artery

The prevalence of congenital coronary artery anomalies is approximately 1% in the general population. They are a common cause of sudden death in younger persons. Congenital absence of the left circumflex artery is usually a benign condition but can cause symptoms of exertional angina. We present a c...

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Main Authors: Muhammad Shabbir Rawala, Amna Saleem Ahmed, Muhammad Asif Iqbal, Ahsan Iqbal, Praveen Kumar Budde, Syed Bilal Rizvi
Format: Article
Language:English
Published: Greater Baltimore Medical Center 2019-03-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://dx.doi.org/10.1080/20009666.2019.1593784
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author Muhammad Shabbir Rawala
Amna Saleem Ahmed
Muhammad Asif Iqbal
Ahsan Iqbal
Praveen Kumar Budde
Syed Bilal Rizvi
author_facet Muhammad Shabbir Rawala
Amna Saleem Ahmed
Muhammad Asif Iqbal
Ahsan Iqbal
Praveen Kumar Budde
Syed Bilal Rizvi
author_sort Muhammad Shabbir Rawala
collection DOAJ
description The prevalence of congenital coronary artery anomalies is approximately 1% in the general population. They are a common cause of sudden death in younger persons. Congenital absence of the left circumflex artery is usually a benign condition but can cause symptoms of exertional angina. We present a case of a 59-year-old female who presented with complaints of chest pain. She was evaluated by the cardiology service. An invasive angiogram identified the absence of the circumflex artery, a large right coronary artery, and large septal and diagonal branches of the left main coronary artery possibly as a compensatory mechanism to supply blood to the LCx territories. It is important to define coronary anatomy as anomalies dictate which cardiac intervention should be attempted in cases of ischemia.
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spelling doaj.art-05aba983b6f0413cbba258ff1dfdac242023-01-02T22:37:22ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662019-03-019214014210.1080/20009666.2019.15937841593784Congenital anomaly of coronary artery: absence of left circumflex arteryMuhammad Shabbir Rawala0Amna Saleem Ahmed1Muhammad Asif Iqbal2Ahsan Iqbal3Praveen Kumar Budde4Syed Bilal Rizvi5WVU-Charleston DivisionJinnah Medical & Dental CollegeRapides Regional Medical CenterRapides Regional Medical CenterRapides Regional Medical CenterRapides Regional Medical CenterThe prevalence of congenital coronary artery anomalies is approximately 1% in the general population. They are a common cause of sudden death in younger persons. Congenital absence of the left circumflex artery is usually a benign condition but can cause symptoms of exertional angina. We present a case of a 59-year-old female who presented with complaints of chest pain. She was evaluated by the cardiology service. An invasive angiogram identified the absence of the circumflex artery, a large right coronary artery, and large septal and diagonal branches of the left main coronary artery possibly as a compensatory mechanism to supply blood to the LCx territories. It is important to define coronary anatomy as anomalies dictate which cardiac intervention should be attempted in cases of ischemia.http://dx.doi.org/10.1080/20009666.2019.1593784Left circumflex arteryantiplateletcongenital anomalyinvasive angiographychest pain
spellingShingle Muhammad Shabbir Rawala
Amna Saleem Ahmed
Muhammad Asif Iqbal
Ahsan Iqbal
Praveen Kumar Budde
Syed Bilal Rizvi
Congenital anomaly of coronary artery: absence of left circumflex artery
Journal of Community Hospital Internal Medicine Perspectives
Left circumflex artery
antiplatelet
congenital anomaly
invasive angiography
chest pain
title Congenital anomaly of coronary artery: absence of left circumflex artery
title_full Congenital anomaly of coronary artery: absence of left circumflex artery
title_fullStr Congenital anomaly of coronary artery: absence of left circumflex artery
title_full_unstemmed Congenital anomaly of coronary artery: absence of left circumflex artery
title_short Congenital anomaly of coronary artery: absence of left circumflex artery
title_sort congenital anomaly of coronary artery absence of left circumflex artery
topic Left circumflex artery
antiplatelet
congenital anomaly
invasive angiography
chest pain
url http://dx.doi.org/10.1080/20009666.2019.1593784
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AT ahsaniqbal congenitalanomalyofcoronaryarteryabsenceofleftcircumflexartery
AT praveenkumarbudde congenitalanomalyofcoronaryarteryabsenceofleftcircumflexartery
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