Her Üç Koroner Arterin de Sağ Valsalva Sinüsünden Köken Aldığı Olgu

Koroner arterlerin aorttan anormal kökenli olmaları tanısal ve klinik sorunlara yol açabilmektedir. Sunduğumuz olgu, sol ana koroneri olmayan ve sol ön inen arter, sirkumfleks arter ve sağ koroner arterin ayrı ostiumlarla sağ valsalva sinüsünden köken aldığı bir olgudur. Bu oldukça nadir olgunun klinik, anjiyografik ve bilgisayarlı tomografik görüntülerini tanımlamayı ve literatürdeki diğer olguları da kısaca derlemeyi amaçladık

A Case In Whom All Three Coronary Arteries Originate From The Right Sinus of Valsalva

Anomalous aortic origins of the coronary arteries may cause diagnostic and clinic problems. We report a case of absence of the left main coronary artery with the left anterior descending, circumflex and right coronary arteries arising by seperate ostia from the right sinus of valsalva. The clinical, angiographic and computed tomography imaging findings of this exceedingly rare anomaly are described with a brief review of previously documented cases

___

Roberts WC. Major anomalies of coronary arterial origin seen in adulthood. Am Heart J 1986;111:941-963.

Bartorelli AL, Capacchione V, Ravagnani P, Pepi M. Anomalous origin of the left anterior descending and circumfl ex coronary arteries by two seperate ostia from the right sinus of Valsalva. Int J Cardiol 1994;44:294-298.

Latsios G, Tsioufi s K, Tousoulis D, Kallikazaros I, Stefanadis C. Common origin of both right and left coronary arteries from the right sinus of Valsalva. Int J Cardiol 2008;18:128.

Miyoshi S, Hara Y, Shigematsu Y, et al. Seperate origins of three coronary arteries arising from the right sinus of Valsalva. Can J Cardiol 2005;21:451- 452.

Bush HS, Nolan J, Shen MH. Use of CT angiography for evaluation of 3 coronary ostia. Texas Heart Institute J 2005;32:246-247.

Pollack BD, Belkin RN, Lazar S, Pucillo A, Cohen MB, Weiss MB, et al. Origin of all three coronary arteries from seperate ostia in the right sinus of Valsalva: A rarely reported coronary anomaly. Catheter Cardiovasc Diagn 1992;27:594-595.

Cheitlin MD, De Castro CM, McAllister HA. Sudden death as a complication of anomalous left coronary origin from the anterior sinus of Valsalva, A not so minor congenital anomaly. Circulation 1974;50:780-787.

Acıbadem Üniversitesi Sağlık Bilimleri Dergisi-Cover
  • ISSN: 1309-470X
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2010
  • Yayıncı: ACIBADEM MEHMET ALİ AYDINLAR ÜNİVERSİTESİ