Anomalous Left Main Coronary Artery : Case Series of Different Courses and Literature Review
Joint Authors
Slim, Ahmad M.
Malik, Jamil A.
Marler, Adam T.
Source
Case Reports in Vascular Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-22
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Congenital anomalies of the coronary arteries are a cause of sudden cardiac death.
Of the known anatomic variants, anomalous origination of a coronary artery from an opposite sinus of Valsalva (ACAOS) remains the main focus of debate.
Case Series.
We present three cases, all presenting to our facility within one week’s time, of patients with newly discovered anomalous origination of the left coronary artery from the right sinus of Valsalva (L-ACAOS).
All patients underwent cardiac computed tomography for evaluation of coronary anatomy along with other forms of functional testing.
Despite the high risk nature of two of the anomalies, the patients are being treated medically without recurrence of symptoms.
Summary.
After review of the literature, we have found that the risk of sudden cardiac death in patients with congenital coronary anomalies, even among variants considered the highest risk, may be overestimated.
In addition, the exact prevalence of coronary anomalies in the general population is currently underestimated.
A national coronary artery anomaly registry based on cardiac computed tomography and invasive coronary angiography data would be helpful in advancing our understanding of these cardiac peculiarities.
The true prevalence of congenital coronary anomalies and overall risk of sudden cardiac death in this population are not well known.
Surgical intervention remains the mainstay of therapy in certain patients though recent investigations into the pathophysiology of these abnormalities have shown that the risk of surgery may outweigh the minimal reduction in risk of sudden cardiac death.
American Psychological Association (APA)
Marler, Adam T.& Malik, Jamil A.& Slim, Ahmad M.. 2013. Anomalous Left Main Coronary Artery : Case Series of Different Courses and Literature Review. Case Reports in Vascular Medicine،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-467537
Modern Language Association (MLA)
Marler, Adam T.…[et al.]. Anomalous Left Main Coronary Artery : Case Series of Different Courses and Literature Review. Case Reports in Vascular Medicine No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-467537
American Medical Association (AMA)
Marler, Adam T.& Malik, Jamil A.& Slim, Ahmad M.. Anomalous Left Main Coronary Artery : Case Series of Different Courses and Literature Review. Case Reports in Vascular Medicine. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-467537
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-467537