Origine anomala della coronaria sinistra dal seno di valsalsa destro: Osservazioni su un caso clinico

Translated title of the contribution: Anomalous origin of the left coronary artery from the right sinus of valsalva: Case report

Alberto Podestà, Vincenzo Dottori, Enrico Parodi, Rosella Crivellari, Luca Acquarone, Luigi De Marco, Gian Carlo Passerone

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Translated title of the contributionAnomalous origin of the left coronary artery from the right sinus of valsalva: Case report
Original languageItalian
Pages (from-to)83-85
Number of pages3
JournalChirurgia
Volume15
Issue number2
Publication statusPublished - Apr 2002

ASJC Scopus subject areas

  • Surgery

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