title: Myocardial Ischemia caused by a coronary anomaly: left circumflex coronary artery arising from right sinus of valsalva.
abstract: We present the case of a patient in whom a previously undetected anomalous origin of the circumflex coronary artery caused myocardial ischemia and led to positive myocardial scintigraphic results. Subsequent coronary angiography showed that the left circumflex coronary artery arose from the right coronary ostium-an anomaly that has been associated with chest discomfort-without atherosclerotic lesions. The peripheral distribution of the left circumflex artery was normal. We describe the clinical and angiographic findings in our patient and discuss the relationship between coronary artery anomalies and ischemia.
authors.affiliation: Department of Cardiology, School of Medicine, Zonguldak Karaelmas University, 67600 Zonguldak, Turkey. drmustafaaydin@hotmail.com
authors.forename: Mustafa
authors.initials: M
authors.lastname: Aydin
authors.forename: Ali
authors.initials: A
authors.lastname: Ozeren
authors.forename: Irfan
authors.initials: I
authors.lastname: Peksoy
authors.forename: Mehmet
authors.initials: M
authors.lastname: Cabuk
authors.forename: Mehmet
authors.initials: M
authors.lastname: Bilge
authors.forename: Aydin
authors.initials: A
authors.lastname: Dursun
authors.forename: Mehmet Ali
authors.initials: MA
authors.lastname: Elbey
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis*; D004417:Dyspnea / Q000209:etiology; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000209:etiology*