Abstract
Anomalous aortic origin of one of the coronary arteries is uncommon. There have been few reports of the left coronary artery arising from the noncoronary sinus. The occurrence of Prinzmetal’s angina in association with anomalous aortic origin is extremely rare. We report a case of such a combination and discuss the diagnostic options and therapeutic decision making.
Similar content being viewed by others
References
Cohen DJ, Kim D, Baim DS (1991) Origin of the left main coronary artery from the non coronary sinus of Valsalva. Cathet Cardiovasc Diagn 22:190–192
Frescura C, Basso C, Thiene G, et al. (1998) Anomalous origin of coronary arteries and the risk of sudden death: a study based on an autopsy population of congenital heart disease. Hum Pathol 29:689–695
Hamamichi Y, Okada E, Ichida F (2000) Anomalous origin of the left main stem of the left coronary artery from the non facing sinus of Valsalva associated with sudden death in a young athlete. Cardiol Young 10:147–149
Kardos A, Babai L, Rudas L, et al. (1997) Epidemiology of congenital coronary artery anomalies: a coronary arteriography study on a central European population. Cathet Cardiovasc Diagn 42:270–275
Liberman L, Pass RH, Kaufman S, et al. (2005) Left coronary artery arising from the non coronary sinus: a rare congenital coronary anomaly. Pediatr Cardiol 26:672–674
Lo PH, Chang KC, Hung JS, et al. (1997) Anomalous origin of left main coronary artery from the non coronary sinus: an intravascular ultrasound observation. Cathet Cardiovasc Diagn 42:430–433
Mishra PK (2006) Variations in presentation and various options in management of variant angina. Eur J Cardiothorac Surg 29:748–749
Paterson HS, Jones MW, Baird DK, Hughes CF (1998) Lethal postoperative coronary artery spasm. Annal Thorac Surg 65:1571–1573
Yamanaka O, Hobbs RE (1990) Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 21:28–40
Acknowledgment
We acknowledge Rachel Wald, M.D., for her assistance with the coronary imaging.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Nathan, M., Singh, M., Lakdawala, N. et al. Anomalous Left Coronary Artery from Aorta with Prinzmetal’s Angina: A Postoperative Dilemma Successfully Managed. Pediatr Cardiol 28, 400–402 (2007). https://doi.org/10.1007/s00246-007-0040-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00246-007-0040-9