Skip to main content
SpringerLink
Log in

Unusual Malignant Coronary Artery Anomaly: Results of Coronary Angiography, MR Imaging, and Multislice CT

  • Case Report
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

We report the case of a man with an uncommon anomaly of the origin and course of the left coronary artery. Clinical, coronary angiography, magnetic resonance imaging, and multislice computed tomography findings of this intermittently symptomatic 49 year-old patient with the rare anomaly of his left coronary artery stemming from the right sinus of Valsalva and taking an interarterial and intraseptal course are presented. The diagnostic value of the different imaging modalities is discussed.

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
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Shrestha BMS, Hamilton-Craig C, Platts D, Clarke D (2009) Spontaneous coronary artery rupture in a young patient: a rare diagnosis for cardiac tamponade. Interact Cardiovasc Thorac Surg (in press)

  2. Habis M, Capderou A, Sigal-Cinqualbre A, Ghostine S, Rahal S, Riou JY, Brenot P, Angel CY, Paul JF (2009) Comparison of delayed enhancement patterns on multislice computed tomography immediately after coronary angiography and cardiac magnetic resonance imaging in acute myocardial infarction. Heart 95:624–629

    Article  CAS  PubMed  Google Scholar 

  3. Dirksen M, Bax J, Bloom N, Schalij N, Jukema W, Vliegen H, Van der Wall E, de Roos A, Lamb H (2002) Detection of malignant right coronary artery anomaly by multi-slice coronary angiography. Eur Radiol 12:S177–S180

    PubMed  Google Scholar 

  4. Kimbiris D, Iskandrian A, Segal B, Bemis C (1978) Anomalous aortic origin of coronary arteries. Circulation 58:606–615

    CAS  PubMed  Google Scholar 

  5. Click R, Holmes D Jr, Vlietstra R, Kosinski A, Kronmal R (1989) Anomalous coronary arteries: location, degree of atherosclerosis and effect on survival: a report from the Coronary Artery Surgery Study. J Am Coll Cardiol 13:531–537

    Article  CAS  PubMed  Google Scholar 

  6. Chaitman B, Lesperance J, Saltiel J, Bourassa M (1976) Clinical, angiographic, and hemodynamic findings in patients with anomalous origin of the coronary arteries. Circulation 53:122–131

    CAS  PubMed  Google Scholar 

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

    Article  CAS  Google Scholar 

  8. Post J, van Rossum A, Bronzwaer J (1995) Magnetic resonance angiography of anomalous coronary arteries. A new gold standard for delineating the proximal course? Circulation 92:3163–3171

    CAS  PubMed  Google Scholar 

  9. Corrado D, Basso C, Schiavon M, Thiene G (1998) Screening for hypertrophic cardiomyopathy in young athletes. N Engl J Med 339:364–369

    Article  CAS  PubMed  Google Scholar 

  10. Virmani R, Burke A, Farb A (2000) The pathology of sudden cardiac deaths in athletes. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  11. Schmitt R, Froehner S, Brunn J, Wagner M, Brunner H, Cherevatyy O, Gietzen F, Christopoulos G, Kerber S, Fellner F (2005) Congenital anomalies of the coronary arteries: imaging with contrast-enhanced, multidetector computed tomography. Eur Radiol 15:1110–1121

    Article  PubMed  Google Scholar 

  12. Schuijf J, Bax J, Shaw L, de Roos A, Lamb H, van der Wall E, Wejns W (2006) Meta-analysis of comparative diagnostic performance of magnetic resonance imaging and multislice computed tomography for noninvasive coronary angiography. Am Heart J 151:404–411

    Article  PubMed  Google Scholar 

  13. Koos R, Mahnken AH, Sinha AM, Wildberger JE, Hoffmann R (2003) ECG-gated multislice spiral computed tomography to clarify lesion severity in a case of left main stenosis. Multislice spiral computed tomography to clarify lesion severity. Int J Cardiovasc Imaging 19(4):349–353

    Article  PubMed  Google Scholar 

  14. Fallenberg E, Juergens K, Wichter T, Scheld H, Fischbach R (2002) Coronary artery aneurysm and type A-aortic dissection demonstrated by retrospectively ECG-gated multislice spiral CT. Eur Radiol 12:201–204

    Article  PubMed  Google Scholar 

  15. Horisaki T, Yamashita T, Yokoyama H, Urasawa K, Kitabatake A (2003) Three-dimensional reconstruction of computed tomographic images of anomalous origin of the left main coronary artery from the pulmonary trunk in an adult. Am J Cardiol 92:898–899

    Article  PubMed  Google Scholar 

  16. Van Ooijen P, Dorgelo J, Zijlstra F, Oudkerk M (2004) Detection, visualization and evaluation of anomalous coronary anatomy on 16-slice multidetector-row CT. Eur Radiol 14:2163–2171

    Article  PubMed  Google Scholar 

  17. Gersin E, Litmanovich D, Ofer A, Lessick J, Dragu R, Rispler S, Beyar R, Engel A (2004) Anomalous origin of right coronary artery. diagnosis and dynamic evaluation with multidetector computed tomography. J Comput Assist Tomogr 28:293–294

    Article  Google Scholar 

  18. Duran C, Cantarci M, Subasi I, Gulbaran M, Sevimli S, Bayram E, Eren S, Karaman A, Fil F, Okur A (2006) Remarkable anatomic anomalies of coronary arteries and their clinical importance: a multidetector computed tomography angiographic study. J Comput Assist Tomogr 30:939–948

    Article  PubMed  Google Scholar 

  19. Angelini P, Velasco J, Flamm S (2002) Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation 105:2449–2454

    Article  PubMed  Google Scholar 

  20. Engel H, Torres C, Page H (1975) Major variations in anatomical origin of the coronary arteries: angiographic observations in 4,250 patients without associated congenital heart disease. Cathet Cardiovasc Diagn 1:157–169

    Article  CAS  PubMed  Google Scholar 

  21. Liberthson R, Dinsmore R, Fallon J (1979) Aberrant coronary artery origin from the aorta. Report of 18 patients, review of literature and delineation of natural history and management. Circulation 59:748–754

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Diagnostic Radiology, RWTH Aachen University, Pauwelsstrasse 30, 52074, Aachen, Germany

    Jonas Apitzsch, Georg Mühlenbruch & Andreas H. Mahnken

  2. Department of Cardiology, RWTH Aachen University, Pauwelsstrasse 30, 52074, Aachen, Germany

    Harald P. Kühl

  3. Applied Medical Engineering, Helmholtz Institute, RWTH Aachen University, Pauwelsstrasse 20, 52074, Aachen, Germany

    Andreas H. Mahnken

Authors
  1. Jonas Apitzsch
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Harald P. Kühl
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Georg Mühlenbruch
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Andreas H. Mahnken
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jonas Apitzsch.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Apitzsch, J., Kühl, H.P., Mühlenbruch, G. et al. Unusual Malignant Coronary Artery Anomaly: Results of Coronary Angiography, MR Imaging, and Multislice CT. Cardiovasc Intervent Radiol 33, 389–393 (2010). https://doi.org/10.1007/s00270-009-9663-y

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-009-9663-y

Keywords

Search

Navigation