Anomalous origin of left main coronary artery from the right sinus of Valsalva presenting as non ST elevation acute coronary syndrome: A case report
Congenital anomalies of the coronary arteries are a cause of sudden cardiac death. Of the known anatomic variants, anomalous origination of a coronary artery from an opposite sinus of Valsalva (ACAOS) remains a major clinical issue and a challenging condition to treat. Congenital coronary anomalies...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2017-09-01
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| Series: | The Egyptian Heart Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1110260816301089 |
| _version_ | 1818316123935866880 |
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| author | Anish Hirachan Arun Maskey Gopi Prasad Hirachan Madhu Roka |
| author_facet | Anish Hirachan Arun Maskey Gopi Prasad Hirachan Madhu Roka |
| author_sort | Anish Hirachan |
| collection | DOAJ |
| description | Congenital anomalies of the coronary arteries are a cause of sudden cardiac death. Of the known anatomic variants, anomalous origination of a coronary artery from an opposite sinus of Valsalva (ACAOS) remains a major clinical issue and a challenging condition to treat. Congenital coronary anomalies are likely to be under-recognized, as completing an anatomic assessment in a very large portion of the population would seem unfeasible. However, we present a case report with image of a 49 year old male presented with acute non-ST elevation ACS for which he underwent diagnostic angiography of the coronary system which revealed a common origin of both right and left main coronary artery from right sinus of Valsalva with significant obstructive lesion in the mid segment of right coronary artery. However, due to financial constraints CT angiography could not be done in this patient to identify the detail anatomy and the course of the anomalous left coronary artery origin (L-ACAOS). He was managed medically with dual antiplatelets, beta blockers, nitrates and ACE inhibitors. |
| first_indexed | 2024-12-13T09:16:26Z |
| format | Article |
| id | doaj.art-f2d79b498e484b71b69cc17c6e9cba58 |
| institution | Directory Open Access Journal |
| issn | 1110-2608 |
| language | English |
| last_indexed | 2024-12-13T09:16:26Z |
| publishDate | 2017-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Heart Journal |
| spelling | doaj.art-f2d79b498e484b71b69cc17c6e9cba582022-12-21T23:52:49ZengSpringerOpenThe Egyptian Heart Journal1110-26082017-09-0169321521810.1016/j.ehj.2017.02.002Anomalous origin of left main coronary artery from the right sinus of Valsalva presenting as non ST elevation acute coronary syndrome: A case reportAnish Hirachan0Arun Maskey1Gopi Prasad Hirachan2Madhu Roka3National Academy of America Sciences, Kathmandu, NepalSahid Gangalal National Heart Centre, Kathmandu, NepalGandaki Medical College, Pokhara, NepalSahid Gangalal National Heart Centre, Bansbari, Kathmandu, NepalCongenital anomalies of the coronary arteries are a cause of sudden cardiac death. Of the known anatomic variants, anomalous origination of a coronary artery from an opposite sinus of Valsalva (ACAOS) remains a major clinical issue and a challenging condition to treat. Congenital coronary anomalies are likely to be under-recognized, as completing an anatomic assessment in a very large portion of the population would seem unfeasible. However, we present a case report with image of a 49 year old male presented with acute non-ST elevation ACS for which he underwent diagnostic angiography of the coronary system which revealed a common origin of both right and left main coronary artery from right sinus of Valsalva with significant obstructive lesion in the mid segment of right coronary artery. However, due to financial constraints CT angiography could not be done in this patient to identify the detail anatomy and the course of the anomalous left coronary artery origin (L-ACAOS). He was managed medically with dual antiplatelets, beta blockers, nitrates and ACE inhibitors.http://www.sciencedirect.com/science/article/pii/S1110260816301089Anomalous originCongenitalSinus of Valsalva |
| spellingShingle | Anish Hirachan Arun Maskey Gopi Prasad Hirachan Madhu Roka Anomalous origin of left main coronary artery from the right sinus of Valsalva presenting as non ST elevation acute coronary syndrome: A case report The Egyptian Heart Journal Anomalous origin Congenital Sinus of Valsalva |
| title | Anomalous origin of left main coronary artery from the right sinus of Valsalva presenting as non ST elevation acute coronary syndrome: A case report |
| title_full | Anomalous origin of left main coronary artery from the right sinus of Valsalva presenting as non ST elevation acute coronary syndrome: A case report |
| title_fullStr | Anomalous origin of left main coronary artery from the right sinus of Valsalva presenting as non ST elevation acute coronary syndrome: A case report |
| title_full_unstemmed | Anomalous origin of left main coronary artery from the right sinus of Valsalva presenting as non ST elevation acute coronary syndrome: A case report |
| title_short | Anomalous origin of left main coronary artery from the right sinus of Valsalva presenting as non ST elevation acute coronary syndrome: A case report |
| title_sort | anomalous origin of left main coronary artery from the right sinus of valsalva presenting as non st elevation acute coronary syndrome a case report |
| topic | Anomalous origin Congenital Sinus of Valsalva |
| url | http://www.sciencedirect.com/science/article/pii/S1110260816301089 |
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