Abstract
The growing improvements of computed tomography have made this technique more and more available for cardiac evaluation. Coronary artery anomalies (CAAs) are often incidental findings in subjects with suspected coronary artery disease (CAD) undergoing coronary angiography or computed tomography coronary angiography (CTCA). In some cases, CAAs can be clinically relevant so their identification could change radically patient management and treatment. We report the case of a 68-year-old male patient with known CAD and associated anomalous origination of the left coronary artery from the opposite sinus.
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References
Angelini P (2007) Coronary artery anomalies—an entity in search of an identity. Circulation 115(10):1296–1305
Angelini P (2009) Anomalous origin of the left coronary artery from the opposite sinus of valsalva typical and atypical features. Tex Heart Inst J 36(4):313–315
Cademartiri F, Runza G, Luccichenti G et al (2006) Coronary artery anomalies: incidence, pathophysiology, clinical relevance and role of diagnostic imaging. Radiol Med 111(3):376–391
de Oliveira Silva-Junior G, da Silva Miranda SW, Mandarim-de-Lacerda CA (2009) Origin and development of the coronary arteries. Int J Morphol 27(3):891–898
Leber AW, Knez A, von Ziegler F et al (2005) Quantification of obstructive and non obstructive coronary lesions by 64-slice computed tomography: a comparative study with quantitative coronary angiography and intravascular ultrasound. J Am Coll Cardiol 46(1):147–154
Lim JCE, Beale A, Ramcharitar S (2011) Anomalous origination of a coronary artery from the opposite sinus. Nat Rev Cardiol 8(12):706–719
Marler AT, Malik JA, Slim AM (2013) Anomalous left main coronary artery: case series of different courses and literature review. Case Rep Vasc Med 2013:380952
Moore AG, Agarwal PP (2014) Hammock Sign. J Thorac Imaging 29(5):W89
Ropers D, Gehling G, Pohle K et al (2002) Images in cardiovascular medicine. Anomalous course of the left main or left anterior descending coronary artery sinus of originating from the right Valsalva—identification of four common variations by electron beam tomography. Circulation 105(6):E42–E43
Samarendra P, Kumari S, Hafeez M, Vasavada BC, Sacchi TJ (2001) Anomalous circumflex coronary artery: benign or predisposed to selective atherosclerosis. Angiology 52(8):521–526
Schmid M, Achenbach S, Ludwig J et al (2006) Visualization of coronary artery anomalies by contrast-enhanced multi-detector row spiral computed tomography. Int J Cardiol 111(3):430–435
Schmitt R, Froehner S, Brunn J et al (2005) Congenital anomalies of the coronary arteries: imaging with contrast-enhanced, multidetector computed tomography. Eur Radiol 15(6):1110–1121
Taylor AJ, Byers JP, Cheitlin MD, Virmani R (1997) Anomalous right or left coronary artery from the contralateral coronary sinus: “high-risk” abnormalities in the initial coronary artery course and heterogeneous clinical outcomes. Am Heart J 133(4):428–435
Virmani R, Chun PK, Goldstein RE, Robinowitz M, McAllister HA (1984) Acute takeoffs of the coronary arteries along the aortic wall and congenital coronary ostial valve-like ridges: association with sudden death. J Am Coll Cardiol 3(3):766–771
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This research was financed by Italian Ministry of Health (Project Code: GR-2011-02349436).
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Forte, E., Inglese, M., Infante, T. et al. Anomalous left main coronary artery detected by CT angiography. Surg Radiol Anat 38, 987–990 (2016). https://doi.org/10.1007/s00276-016-1634-9
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DOI: https://doi.org/10.1007/s00276-016-1634-9