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Anomalous Left Coronary Artery from Aorta with Prinzmetal’s Angina: A Postoperative Dilemma Successfully Managed

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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.

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References

  1. 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

    Article  CAS  PubMed  Google Scholar 

  2. 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

    Article  CAS  PubMed  Google Scholar 

  3. 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

    Article  CAS  PubMed  Google Scholar 

  4. 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

    Article  CAS  PubMed  Google Scholar 

  5. 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

    Article  CAS  PubMed  Google Scholar 

  6. 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

    Article  CAS  PubMed  Google Scholar 

  7. Mishra PK (2006) Variations in presentation and various options in management of variant angina. Eur J Cardiothorac Surg 29:748–749

    Article  PubMed  Google Scholar 

  8. Paterson HS, Jones MW, Baird DK, Hughes CF (1998) Lethal postoperative coronary artery spasm. Annal Thorac Surg 65:1571–1573

    Article  CAS  Google Scholar 

  9. Yamanaka O, Hobbs RE (1990) Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 21:28–40

    Article  CAS  PubMed  Google Scholar 

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Acknowledgment

We acknowledge Rachel Wald, M.D., for her assistance with the coronary imaging.

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Correspondence to E. A. Bacha.

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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

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  • DOI: https://doi.org/10.1007/s00246-007-0040-9

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