title: [The independent origins of the anterior descending, circumflex and right coronary arteries from the right coronary sinus].
abstract: We present a patient with chronic ischaemic cardiac disease and anomalous left anterior descending and circumflex coronary arteries with independent origin from the right Valsalva sinus. Each one had his own ostium and the left anterior descending artery followed an intramyocardial pathway through the interventricular septum whereas the circumflex artery had a retrocardiac pathway. The clinical picture of the patient was related to the presence of atherosclerotic obstructive lesions in right, whose origin and curse were normal, and circumflex coronary arteries. He was treated medically at first but without obtaining complete control therefore he needed surgical treatment which was undertaken without technical difficulties. We reviewed the anomalies of the main coronary arteries, in the origin and course, with its clinical signification, diagnosis and therapeutics topics.
authors.affiliation: Servicio de Cardiología y Unidad Médico-Quirúrgica de Cardiología, Hospital La Paz, Madrid.
authors.forename: F
authors.initials: F
authors.lastname: García Gallego
authors.forename: R
authors.initials: R
authors.lastname: Peinado
authors.forename: V
authors.initials: V
authors.lastname: Platero
authors.forename: J M
authors.initials: JM
authors.lastname: Mesa
authors.forename: J A
authors.initials: JA
authors.lastname: Sobrino
authors.forename: L
authors.initials: L
authors.lastname: Calvo
authors.forename: N
authors.initials: N
authors.lastname: Sobrino
mesh_terms: D000368:Aged; D002908:Chronic Disease; D017023:Coronary Angiography; D003327:Coronary Disease / Q000175:diagnosis; D003330:Coronary Vessel Anomalies / Q000175:diagnosis*; D004562:Electrocardiography; D006801:Humans; D008297:Male
vernacular_title: Orígenes independientes de las arterias coronarias descendente anterior, circunfleja y derecha del seno coronario derecho.