TY - JOUR
T1 - Origine anomala della coronaria sinistra dal seno di valsalsa destro
T2 - Osservazioni su un caso clinico
AU - Podestà, Alberto
AU - Dottori, Vincenzo
AU - Parodi, Enrico
AU - Crivellari, Rosella
AU - Acquarone, Luca
AU - De Marco, Luigi
AU - Passerone, Gian Carlo
PY - 2002/4
Y1 - 2002/4
N2 - The anomalous origin of the left coronary artery is an extremely rare congenital anomaly. It may take one of two main forms: it may originate from the pulmonary trunk or, as in the case reported here, from the right aortic sinus. The latter form is very rarely found, as is shown by the literature. The anomaly in question is often the cause of cardiac arrest in young subjects, above all while carrying out physical exercise. Angina, even while resting, and the electrocardiographic alteration of the ST tract are the main characteristics of this pathology. Episodes of low flow ischemia are reported in the literature, correlated with the anomalous intramyocardial course of this coronary artery. The patient in question, who presented a history of hypertension, that was poorly controlled by drugs, and dyslipidemia, underwent myocardial revascularisation surgery following acute myocardial infarction and unsuccessful coronary angioplasty. These events were not triggered by the anomalous course of the artery, but by the presence of arteriosclerosis.
AB - The anomalous origin of the left coronary artery is an extremely rare congenital anomaly. It may take one of two main forms: it may originate from the pulmonary trunk or, as in the case reported here, from the right aortic sinus. The latter form is very rarely found, as is shown by the literature. The anomaly in question is often the cause of cardiac arrest in young subjects, above all while carrying out physical exercise. Angina, even while resting, and the electrocardiographic alteration of the ST tract are the main characteristics of this pathology. Episodes of low flow ischemia are reported in the literature, correlated with the anomalous intramyocardial course of this coronary artery. The patient in question, who presented a history of hypertension, that was poorly controlled by drugs, and dyslipidemia, underwent myocardial revascularisation surgery following acute myocardial infarction and unsuccessful coronary angioplasty. These events were not triggered by the anomalous course of the artery, but by the presence of arteriosclerosis.
KW - Coronary artery bypass
KW - Coronary vessels, anatomy and histology
KW - Heart defects, congenital, diagnosis
UR - http://www.scopus.com/inward/record.url?scp=0036556736&partnerID=8YFLogxK
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M3 - Articolo
AN - SCOPUS:0036556736
VL - 15
SP - 83
EP - 85
JO - Chirurgia (Turin)
JF - Chirurgia (Turin)
SN - 0394-9508
IS - 2
ER -