SAĞ SİNÜS VALSALVA DAN KÖKEN ALAN SİRKUMFLEX KORONER ARTERE BAŞARILI PERKUTAN KORONER GİRİŞİM

Koroner arter anomalileri koroner anjiografiye giden hastaların %0,6 -1,5 unda teşhis edilmektedir. Hayatı tehdit eden durumlarla karşılaşabilirler fakat genellikle asemptomatiklerdir. Bu vakada 54 yaşında ki bayan hasta akut yüksek lateral myokard enfarktüsü ile hastaneye başvurdu ve sol sirkumfleks koroner arter çıkış anomalisine sahipti. Biz anormal çıkışlı koroner artere başarılı perkutan girişim işlemi uyguladık.

Succesfull Percutaneous Coronary Intervention of Circumflex Coronary Artery Originating from the Right Sinus of Valsalva

Coronary artery anomalies are diagnosed in 0.6 to 1.5% of patients who undergo coronary angiography (CAG). They may present with life threatening conditions but are generally asymptomatic. In this report, a 54-year-old woman was admitted to the hospital with acute high lateral myocardial infarction and had an anomalous origin of the left circumflex coronary artery (LCX). We performed a successful percutaneous coronary intervention with an abnormal output coronary artery.

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  • 1. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn1990;21:28-40.
  • 2. Wilkins CE, Betancourt B, Mathur VS, Massumi A, De Castro CM, Garcia E, et al. Coronary artery anomalies: A review of more than 10,000 patients from the Clayton Cardiovascular Laboratories. Tex Heart Inst J 1988;15:166-73.
  • 3. Levin DC, Fellows KE, Abrams HL. Hemodynamically significant primary anomalies of the coronary arteries. Circulation 1978;58:25--34.
  • 4. Lee YS, Lee JB, Kim KS. Anomalous origin of the left circumflex coronary artery from the right sinus of valsalva identified by imaging with multidetector computed tomography. Korean Circ J 2006;36:823-5.
  • 5. Korosoglou G, Ringwald G, Giannitsis E, Katus HA. Anomalous ori-gin of the left circumflex coronary artery from the pulmonary artery: a very rare congenital anomaly in an adult patient diagnosed by cardio-vascular magnetic resonance. J Cardiovasc Magn Reson 2008;10:4.
  • 6. Click RL, Holmes DR, Jr, Vlietstra RE, Kosinski AS, Kronmal RA. Anomalous coronaryarteries: location, degree of atherosclerosis and effect on survival a report from the Coronary Artery Surgery Study. J AmColl Cardiol 1989;13:531-7.
  • 7. Samarendra P1, Kumari S, Hafeez M, Vasavada BC, Sacchi TJ. Anomalous circumflex coronary artery: benign or predisposed to selective atherosclerosis. Angiology 2001;52:521-6.
  • 8. Speziale G, Fattouch K, Ruvolo G, Fiorenza G, Papalia U, Marino B. Myocardial infarction caused by compression of anomalous circumflex coronary artery after mitral valve replacement. Minerva Cardioangiol 1998;46:455-6.
  • 9. Patel S. Normal and anomalous anatomy of the coronary arteries. Semin Roentgenol. 2008;43:100-12.