Skip to main content
SpringerLink
Log in

Congenital absence of left circumflex with severe mitral stenosis

  • Case Report
  • Published:
Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Absence of left circumflex artery (LCX) is a rare congenital coronary abnormality. Congenital anomalies of coronary arteries are unusual and generally discovered incidentally. Here, we present a case report of a 45-year-old lady with severe mitral stenosis who was admitted to our department for mitral valve replacement. During routine computed tomography angiogram of coronaries for pre-operative evaluation, we found that there was absence of LCX. There was no history of chest pain or other symptoms of ischemic heart disease. Congenital absence of LCX associated with ischemic heart disease is already described in literature although it is a rare anomaly, but association of absent LCX with severe mitral stenosis has not been reported.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

References

  1. Tc L, Lee WS, Kong CW, Chan WL. Congenital absence of the left circumflex coronary artery. Jpn Heart J. 2003;44:1015–20.

    Article  Google Scholar 

  2. Click RL, Holmes DR, Vlietstra RE, Kosinski AS, Kronmal RA. CASS participants. Anomalous coronary arteries: location, degree of atherosclerosis and effect on survival—a report from the coronary artery surgery study. J Am Coll Cardiol. 1989;13:531–7.

    Article  CAS  PubMed  Google Scholar 

  3. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary angiography. Cathet Cardiovasc Diagn. 1990;21:28–40.

    Article  CAS  PubMed  Google Scholar 

  4. Kardos A, Babai L, Rudas L, et al. Epidemiology of congenital coronary artery anomalies: a coronary arteriography study on a central European population. Cathet Cardiovasc Diagn. 1997;42:270–5.

    Article  CAS  PubMed  Google Scholar 

  5. Angelini P, Fairchild VD, editors. Coronary artery anomalies: a comprehensive approach. Lippincott: Williams & Wilkins; 1999.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardio-Vascular and Thoracic Surgery, S.M.S. Medical College, Jaipur, Rajasthan, India

    Mohit Sharma, Siddarth Lukram, Sunil Dixit & Anil Sharma

Authors
  1. Mohit Sharma
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Siddarth Lukram
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sunil Dixit
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Anil Sharma
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mohit Sharma.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sharma, M., Lukram, S., Dixit, S. et al. Congenital absence of left circumflex with severe mitral stenosis. Indian J Thorac Cardiovasc Surg 31, 51–53 (2015). https://doi.org/10.1007/s12055-014-0316-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12055-014-0316-7

Keywords

Search

Navigation