Hüseyin KANDEMİR, Çağlar ALP, Muhammed KARADENİZ, Taner SARAK, Murat TULMAÇ

Tek koroner arter çıkış anomalisi: olgu sunumu

Tek koroner arter anomalisi sağ ve sol koroner arterlerin sinüs valsalvadaki tek bir ostiumdan çıktığı ve tüm kalbi beslediği nadir görülen bir anomalidir. Olguların büyük kısmında asemptomatik olmakla beraber anjina, senkop, miyokard infarktüsü ve ani kardiyak ölüme neden olabilir. Özellikle genç yaşta ani ölüm gibi klinik tablolarla karşılaşma riski olması ve diğer konjenital anomalilerle olan birlikteliği açısından tanı konması önemlidir. Bu nedenle bu yazıda tek koroner arter anomalisi olan ve anjina yakınması ile başvuran bir hasta sunulmuştur.

Anahtar Kelimeler:

Konjenital anomali, göğüs ağrısı, koroner arterler

Single coronary artery anomaly: case report

Single coronary artery anomaly is a rare anomaly in which the right and left coronary arteries arise from a single ostium in the sinus valsalva and are fed whole heart. Most of the cases may be asymptomatic but can cause angina, syncope, myocardial infarction and sudden cardiac death. It is especially important to be diagnosed in terms of association with other congenital anomalies and the risk of encountering clinical tables such as sudden death in young age. Therefore a case was presented with a single coronary artery anomaly and angina complaints in this article.

Keywords:

Congenital anomaly, chest pain, coronary arteries,

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1. Taylor AJ, Virmani R. Coronary artery anomalies in adults: which are high risk? ACC Curr J Rev 2001;10: 92-5.
2. Kursaklıoğlu H, İyisoy A, Çelik T, Günay C. Koroner Arter Anomalileri. In koroner arter anomalileri. Ali Oto, Hürkan Kurşaklıoğlu, Atilla İyisoy (Eds). Koroner arter anomalileri. Hacettepe Ün. Hastaneleri Basımevi, Birinci Basım, 2005,16-91.
3. Halperin IC, Penny JL, Kennedy RJ. Single coronary artery. Antemortem diagnosis in a patient with congestive heart failure. Am J Cardiol 1967;19:424-7.
4. Toshima H, sasaki K, Oshima F, et al. Single coronary artery. Case report. Kurume Med J 1967;14:89-93.
5. Shirani J, Roberts WC. Solitary coronary ostium in the aorta in the absence of other major congenital cardiovascular anomalies. J Am Coll Cardiol 1993;21:137-43.
6. Calder AL, Co EE, Sage MD. Coronary arterial abnormalities in pulmonary atresia with intact ventricular septum Am J Cardiol 1987;59:436-42.
7. Shrivastava S, Mohan JC, Mukhopadhyay S, Rajani M, Tandon R. Coronary artery anomalies in tetralogy of Fallot Cardiovasc Intervent Radiol 1987;10:215-8.
8. Walker Fiona, Webb Gary. Congenital coronary artery anomalies: The adult perspective. Coronary Artery Disease: Vol 12, Dec 2001;12:599-604.
9. Taylor AJ, Virmani R. Coronary artery anomalies in adults: which are high risk? ACC Curr J Rev 2001;10:92-5.
10. Yamanaka O,Hobbs RE. Coronary artery anomalies in 126.595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990;21:28-40.
11. Vrancken Peeters M-PFM, Gittenberger- de Groot AC, Mentink MMT, et al. The development of coronary vessels and their differentiation into arteries and veins in the embriyonic quail heart. Dev Dyn 1997;208:338-48.
12. Frescura C, Basso C, Thiene G, et al. anomalous origin of coronary arteries and risk of sudden cardiac death: a study based on an autopsy population of congenital heartdisease. Hum Pathol 1998;29:689-95.
13. Taylor AJ, Rogor KM, Virmani R. Sudden cardiac death associated with isolated congenital artery anomalies. J Am Coll Cardiol 1992;20:640-7.
14. Roberts W: major anomalies of coronar arterial origin seen in adulthodd. Am heart J 1986;111:941-63.
15. Kardos A, Balsai L, Rudas L, et al. Epidemiology of congenital coronary artery anomalies: A coronary arteriographic study on a Central European population. Catheter Cardiovasc Diagn 1997;42:270-5.
16. Angelini P, Velasco JA, Flamm S. Coronary anomalies. Incidence, pathophysiology and clinical relevance. Circulation 2002;105:2449-54.
17. Lipton MJ, Barry WH, Obrez I, Silverman JF, Wexler L. Isolated single coronary artery: Diagnosis, angiographic classification, and clinical significance. Radiology 1979;130:39-47.
18. Maron BJ, Thompson PD, Puffer JC, et al. Cardiovascular preparticipation screening of competitive athletes: a statement for health professionals from the Sudden Death Committee (Clinical Cardiology) and Congenital Cardiac Defects Committee (Cardiovascular Disease in the Young), American Heart Association. Circulation 1996;94:850-6.
19. Maron BJ. Sudden death in young athletes. N Engl J Med 2003;349:1064-75.
20. Doğan SM, Gürsürer M, Aydın M, Göçer H, Çabuk M, Dursun A. Myocardial ischemia caused by a coronary anomaly left anterior descending coronary artery arising from right sinus of valsalva. Int J Cardiol 2006;112:e57-9.
21. Koşar F, Ermiş N, Erdil N, Battaloğlu B. Anomalous LAD and CX artery arising separately from the proximal right coronary artery-a case report of single coronary artery with coronary artery disease. J Card Surg 2006;21:309-12.