Congenital Absence of Left Circumflex Coronary Artery

Congenital absence of left circumflex artery is a rare congenitalanomaly of the coronary arteries. The prevalence of theanomaly in different studies ranges from 0.6% to 1.3%. Ofthese, 80% are benign and asymptomatic and 20% are clinicallyimportant. We report a 56-year-old man presented withacute res...

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Main Authors: Zahra Ansari, Hossein Nough
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2009-09-01
Series:Iranian Journal of Medical Sciences
Subjects:
Online Access:http://ijms.sums.ac.ir/files/PDFfiles/34_3_11-Dr_%20Ansari.pdf
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author Zahra Ansari
Hossein Nough
author_facet Zahra Ansari
Hossein Nough
author_sort Zahra Ansari
collection DOAJ
description Congenital absence of left circumflex artery is a rare congenitalanomaly of the coronary arteries. The prevalence of theanomaly in different studies ranges from 0.6% to 1.3%. Ofthese, 80% are benign and asymptomatic and 20% are clinicallyimportant. We report a 56-year-old man presented withacute resting chest pain who was diagnosed as having acuteanterolateral infarction accompanied by electrocardiographicchanges and elevated cardiac enzymes. Coronary angiographyin different views was conducted, however, no left circumflexartery was found. The territory supplied by the artery had beenperfused by the super dominant right coronary artery. Therewas no left circumflex coronary artery with anomalous origin.Sever stenosis of left anterior ascending artery superimposedto the absent left circumflex artery was presented as acute anterolateralinfarction. Although absence of the artery is mostlyconsidered as a benign condition, atherosclerotic lesions maybe more important in such cases because of diminished compensatingmechanisms.
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spelling doaj.art-5cdcbdd7fa7d431a98d125b6f411e74c2022-12-21T19:38:05ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences0253-07161735-36882009-09-01343217219Congenital Absence of Left Circumflex Coronary ArteryZahra AnsariHossein NoughCongenital absence of left circumflex artery is a rare congenitalanomaly of the coronary arteries. The prevalence of theanomaly in different studies ranges from 0.6% to 1.3%. Ofthese, 80% are benign and asymptomatic and 20% are clinicallyimportant. We report a 56-year-old man presented withacute resting chest pain who was diagnosed as having acuteanterolateral infarction accompanied by electrocardiographicchanges and elevated cardiac enzymes. Coronary angiographyin different views was conducted, however, no left circumflexartery was found. The territory supplied by the artery had beenperfused by the super dominant right coronary artery. Therewas no left circumflex coronary artery with anomalous origin.Sever stenosis of left anterior ascending artery superimposedto the absent left circumflex artery was presented as acute anterolateralinfarction. Although absence of the artery is mostlyconsidered as a benign condition, atherosclerotic lesions maybe more important in such cases because of diminished compensatingmechanisms.http://ijms.sums.ac.ir/files/PDFfiles/34_3_11-Dr_%20Ansari.pdfCircumflex arterycoronary anomalycongenital anomaly
spellingShingle Zahra Ansari
Hossein Nough
Congenital Absence of Left Circumflex Coronary Artery
Iranian Journal of Medical Sciences
Circumflex artery
coronary anomaly
congenital anomaly
title Congenital Absence of Left Circumflex Coronary Artery
title_full Congenital Absence of Left Circumflex Coronary Artery
title_fullStr Congenital Absence of Left Circumflex Coronary Artery
title_full_unstemmed Congenital Absence of Left Circumflex Coronary Artery
title_short Congenital Absence of Left Circumflex Coronary Artery
title_sort congenital absence of left circumflex coronary artery
topic Circumflex artery
coronary anomaly
congenital anomaly
url http://ijms.sums.ac.ir/files/PDFfiles/34_3_11-Dr_%20Ansari.pdf
work_keys_str_mv AT zahraansari congenitalabsenceofleftcircumflexcoronaryartery
AT hosseinnough congenitalabsenceofleftcircumflexcoronaryartery