Muslihittin Emre ERKUS, İbrahim Halil ALTIPARMAK, Zekeriya KAYA, Recep DEMIRBAG

139146

Akut Koroner Sendromlu Bir Hastada Sirkumfleks Distalinde Çıkan Sağ Koroner Arter Anomalisi

A 79-year-old woman was admitted to emergency department with typical retrosternal chest pain. The physical examination was normal. The twelve-lead electrocardiogram revealed sinus rhythm, QS pattern in leads V1-V2 and negative T waves in leads V1-V6 and aVL (Figure 1). The laboratory assessment revealed elevated creatinine phosphokinase isoenzyme (12 ng /ml) and troponin I (0.06 ng/ml) levels. Other biochemistry values were within the normal limits. She was diagnosed as acute coronary syndrome and she underwent early percutanous .intervention due to continuing cheat pain. We were not able to find out right coronary artery (RCA) either on right coronary angiography or on aortography (Figure 2A). Left coronary angiography revealed retrograde course of RCAoriginating from distal left circumflex artery (Figure 2B). A single coronary artery is commonly associated with severe cardiac malformations, but in this case we are not able to find other severe malformations. This case shows the rare isolated single coronary artery in a 79-yearold woman with acute coronary syndrome.

Anahtar Kelimeler:

Koroner anomali, akut koroner sendrom

Anomalous Right Coronary Artery Originating From Distal Left Circumflex Artery In A Patient With Acute Coronary Syndrome

A 79-year-old woman was admitted to emergency department with typical retrosternal chest pain. The physical examination was normal. The twelve-lead electrocardiogram revealed sinus rhythm, QS pattern in leads V1-V2 and negative T waves in leads V1-V6 and aVL (Figure 1). The laboratory assessment revealed elevated creatinine phosphokinase isoenzyme (12 ng /ml) and troponin I (0.06 ng/ml) levels. Other biochemistry values were within the normal limits. She was diagnosed as acute coronary syndrome and she underwent early percutanous .intervention due to continuing cheat pain. We were not able to find out right coronary artery (RCA) either on right coronary angiography or on aortography (Figure 2A). Left coronary angiography revealed retrograde course of RCAoriginating from distal left circumflex artery (Figure 2B). A single coronary artery is commonly associated with severe cardiac malformations, but in this case we are not able to find other severe malformations. This case shows the rare isolated single coronary artery in a 79-yearold woman with acute coronary syndrome.

Keywords:

coronary anomaly, acute coronary syndrome,

___

---

Harran Üniversitesi Tıp Fakültesi Dergisi-Cover

ISSN: 1304-9623
Yayın Aralığı: 3
Başlangıç: 2004
Yayıncı: Harran Üniversitesi Tıp Fakültesi Dekanlığı

Arşiv

Sayıdaki Diğer Makaleler

Akut femur cisim kırıklarında traksiyon masası kullanmadan elle traksiyon yapılarak mini-açık intramedüller çivileme

Cemil ERTÜRK, Mehmet Akif ALTAY, Metin YAPTI, Ali LEVENT, Baki Volkan ÇETİN, Nuray ALTAY, Kemal YÜCE

Vaginal Doğum Sonrası Gelişen Fekal inkontinans Olgularında Geç Dönem Sfinkteroplasti Operasyonunun Etkinliğinin Değerlendirilmesi

Yusuf YÜCEL, Ahmet ŞEKER, Abdullah ÖZGÖNÜL, Alpaslan TERZİ, Orhan GÖZENELİ, Adnan İNCEBIYIK, Reşit ÇİFTÇİ, Ali UZUNKÖY

Semptom ve Bulgulara Eklenen Kan Sayımı Demir Eksikliği Anemisi Tanısı İçin Özgül ve Duyarlıdır

Yanakta kaşıntılı arkiform eritemli plak lezyon: Jessner-Kanof Hastalığı

Enver TURAN, Yavuz YEŞİLOVA, Osman TANRIKULU

Normal Gebe Populasyonda İntrakardiak Ekojenik Foküs Sıklığı ve Anomaliler ile İlişkisi

Önder YENİÇERİ, Neşat ÇULLU, Mehmet DEVEER, Burcu KASAP, Emine Neşe YENİÇERİ

Akut Koroner Sendromlu Bir Hastada Sirkumfleks Distalinde Çıkan Sağ Koroner Arter Anomalisi

Muslihittin Emre ERKUS, İbrahim Halil ALTIPARMAK, Zekeriya KAYA, Recep DEMIRBAG

Bel Ağrısının Sık Görülmeyen Bir Nedeni; Radyasyon Osteoiti

Koc BUNYAMİN, İsmail BOYRAZ, Hakan SARMAN

Heavy Marcain Allerjisi

Şirali OBA, Cemil GÜLÜCÜ

Derin submandibular bölge yerleşimli lipom olgusu

Mehtap BEKER ACAY, Abdulkadir BUCAK, Ebru ÜNLÜ, Elif HOCAOĞLU, Nazan OKUR

Meme Kitlelerinde Tru-Cut Biyopsinin Yararlılığı

Önder YENİÇERİ, Önder ÖZCAN, Neşat ÇULLU, Mehmet DEVEER