Trans-septal course of anomalous left main coronary artery originating from single right coronary ostium presenting with atrial fibrillation in a severely obese patient: a case report
Abstract Background To present a case of anomalous origin of the left coronary artery evaluated with invasive coronary angiography (ICA) and ECG-gated coronary computed tomography (CCT). Case presentation A patient (55 years old, male) with a past medical history of respiratory failure and atrial fi...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2020-09-01
|
| Series: | The Egyptian Heart Journal |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s43044-020-00093-x |
| _version_ | 1828899299210035200 |
|---|---|
| author | Armando Ugo Cavallo Emanuele Muscogiuri Marco Forcina Antonio Colombo Flavio Fiore Massimiliano Sperandio |
| author_facet | Armando Ugo Cavallo Emanuele Muscogiuri Marco Forcina Antonio Colombo Flavio Fiore Massimiliano Sperandio |
| author_sort | Armando Ugo Cavallo |
| collection | DOAJ |
| description | Abstract Background To present a case of anomalous origin of the left coronary artery evaluated with invasive coronary angiography (ICA) and ECG-gated coronary computed tomography (CCT). Case presentation A patient (55 years old, male) with a past medical history of respiratory failure and atrial fibrillation underwent ICA to rule out coronary artery disease. Subsequently, the patient underwent ECG-gated CCT to evaluate a suspected anomalous aortic origin of the left coronary artery, since the interventional cardiologist was not able to properly identify the left coronary artery and its distal branches. CCT showed left coronary artery originating from the right coronary Valsalva sinus, coursing within the interventricular septum and emerging at the middle segment of the interventricular sulcus, where the left anterior descending and circumflex arteries originated. Conclusion The case we presented highlights the value of ECG-gated CCT in the evaluation of coronary anomaly anatomy and thus risk stratification derived by proper coronary anatomy assessment. Although ICA was not helpful in the diagnosis, it also has a pivotal role regarding the therapeutic management of this condition. |
| first_indexed | 2024-12-13T15:29:07Z |
| format | Article |
| id | doaj.art-85521b090dc547f2ab003fcc9eb91ca2 |
| institution | Directory Open Access Journal |
| issn | 2090-911X |
| language | English |
| last_indexed | 2024-12-13T15:29:07Z |
| publishDate | 2020-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Heart Journal |
| spelling | doaj.art-85521b090dc547f2ab003fcc9eb91ca22022-12-21T23:40:15ZengSpringerOpenThe Egyptian Heart Journal2090-911X2020-09-017211410.1186/s43044-020-00093-xTrans-septal course of anomalous left main coronary artery originating from single right coronary ostium presenting with atrial fibrillation in a severely obese patient: a case reportArmando Ugo Cavallo0Emanuele Muscogiuri1Marco Forcina2Antonio Colombo3Flavio Fiore4Massimiliano Sperandio5Division of Radiology, San Carlo di Nancy Hospital, GVM Care and ResearchDivision of Radiology, University Hospital Sant’Andrea, University of Rome “La Sapienza”Division of Radiology, San Carlo di Nancy Hospital, GVM Care and ResearchInterventional Cardiology Unit, San Carlo di Nancy Hospital, GVM Care and ResearchIntensive Care Unit, San Carlo di Nancy Hospital, GVM Care and ResearchDivision of Radiology, San Carlo di Nancy Hospital, GVM Care and ResearchAbstract Background To present a case of anomalous origin of the left coronary artery evaluated with invasive coronary angiography (ICA) and ECG-gated coronary computed tomography (CCT). Case presentation A patient (55 years old, male) with a past medical history of respiratory failure and atrial fibrillation underwent ICA to rule out coronary artery disease. Subsequently, the patient underwent ECG-gated CCT to evaluate a suspected anomalous aortic origin of the left coronary artery, since the interventional cardiologist was not able to properly identify the left coronary artery and its distal branches. CCT showed left coronary artery originating from the right coronary Valsalva sinus, coursing within the interventricular septum and emerging at the middle segment of the interventricular sulcus, where the left anterior descending and circumflex arteries originated. Conclusion The case we presented highlights the value of ECG-gated CCT in the evaluation of coronary anomaly anatomy and thus risk stratification derived by proper coronary anatomy assessment. Although ICA was not helpful in the diagnosis, it also has a pivotal role regarding the therapeutic management of this condition.http://link.springer.com/article/10.1186/s43044-020-00093-xLeft coronary artery, Trans-septal courseAnomalous origin |
| spellingShingle | Armando Ugo Cavallo Emanuele Muscogiuri Marco Forcina Antonio Colombo Flavio Fiore Massimiliano Sperandio Trans-septal course of anomalous left main coronary artery originating from single right coronary ostium presenting with atrial fibrillation in a severely obese patient: a case report The Egyptian Heart Journal Left coronary artery, Trans-septal course Anomalous origin |
| title | Trans-septal course of anomalous left main coronary artery originating from single right coronary ostium presenting with atrial fibrillation in a severely obese patient: a case report |
| title_full | Trans-septal course of anomalous left main coronary artery originating from single right coronary ostium presenting with atrial fibrillation in a severely obese patient: a case report |
| title_fullStr | Trans-septal course of anomalous left main coronary artery originating from single right coronary ostium presenting with atrial fibrillation in a severely obese patient: a case report |
| title_full_unstemmed | Trans-septal course of anomalous left main coronary artery originating from single right coronary ostium presenting with atrial fibrillation in a severely obese patient: a case report |
| title_short | Trans-septal course of anomalous left main coronary artery originating from single right coronary ostium presenting with atrial fibrillation in a severely obese patient: a case report |
| title_sort | trans septal course of anomalous left main coronary artery originating from single right coronary ostium presenting with atrial fibrillation in a severely obese patient a case report |
| topic | Left coronary artery, Trans-septal course Anomalous origin |
| url | http://link.springer.com/article/10.1186/s43044-020-00093-x |
| work_keys_str_mv | AT armandougocavallo transseptalcourseofanomalousleftmaincoronaryarteryoriginatingfromsinglerightcoronaryostiumpresentingwithatrialfibrillationinaseverelyobesepatientacasereport AT emanuelemuscogiuri transseptalcourseofanomalousleftmaincoronaryarteryoriginatingfromsinglerightcoronaryostiumpresentingwithatrialfibrillationinaseverelyobesepatientacasereport AT marcoforcina transseptalcourseofanomalousleftmaincoronaryarteryoriginatingfromsinglerightcoronaryostiumpresentingwithatrialfibrillationinaseverelyobesepatientacasereport AT antoniocolombo transseptalcourseofanomalousleftmaincoronaryarteryoriginatingfromsinglerightcoronaryostiumpresentingwithatrialfibrillationinaseverelyobesepatientacasereport AT flaviofiore transseptalcourseofanomalousleftmaincoronaryarteryoriginatingfromsinglerightcoronaryostiumpresentingwithatrialfibrillationinaseverelyobesepatientacasereport AT massimilianosperandio transseptalcourseofanomalousleftmaincoronaryarteryoriginatingfromsinglerightcoronaryostiumpresentingwithatrialfibrillationinaseverelyobesepatientacasereport |