scholarly journals Superdominant Right Coronary Artery with Absent Left Coronary Artery and Left Circumflex Artery with Anomalous Left Anterior Descending Artery

Author(s):  
Bhavneet Singh ◽  
Rekha Gupta ◽  
Sreenivas Reddy

AbstractThe occurrence of super-dominant “single coronary artery” is an extremely rare and seldom reported phenomenon. The heart is dependent on a single vessel which makes its occlusion, if present, catastrophic. Here, the authors present an extremely rare combination of superdominant right coronary artery coexisting with absent left coronary artery and left circumflex artery with abnormal origin of left anterior descending artery from right coronary sinus. Precise morphological and physiological knowledge and evaluation of these anomalies is a must for opting the best available therapeutic modality and better prognosis.

2015 ◽  
Vol 25 (6) ◽  
pp. 459-462 ◽  
Author(s):  
Arash Gholoobi ◽  
Hoorak Poorzand

A 43-year-old man presented with unstable angina. Coronary angiography revealed a single coronary artery originating from the left sinus of Valsalva, giving rise to a left main stem trifurcating to the left anterior descending artery, left circumflex artery, and an anomalous right coronary artery. The anomalous right coronary artery had a retroaortic course and significant proximal tubular stenosis which was stented. The coronary anomaly and abnormal course was confirmed by transesophageal echocardiography. The patient was symptom-free at one-year follow-up. This anomaly does not predispose to accelerated atherosclerosis, and the premature atherosclerosis in our patient was probably due an unhealthy lifestyle.


2015 ◽  
Vol 58 (1) ◽  
pp. 37 ◽  
Author(s):  
Jong Min Kim ◽  
Ok Jeong Lee ◽  
I-Seok Kang ◽  
June Huh ◽  
Jinyoung Song ◽  
...  

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