Anomalous coronary circulation: left anterior descending and left circumflex coronary arteries arising from the right sinus of valsalva.
Approximately 1% of adults who undergo cardiac catheterization have coronary anomalies. Patients may present with chest pain, arrhythmias, presyncope, and sometimes sudden cardiac death. Multidetector computed tomography (MDCT) is an excellent tool for identifying coronary artery anomalies and defining their course and relationship to the great vessels and surrounding structures; its value is incremental to conventional angiography. We present a rare case of a coronary anomaly involving three separate ostia at the right sinus of Valsalva for the left and right coronary vessels.
Department of Cardiology, Nassau University Medical Center, East Meadow, New York, USA.
Sikander P
SP
Surana
Sanjay
S
Doddamani
Arun
A
Swaminathan
Mansi B
MB
Mehta
Roman
R
Zeltser
Sheel K
SK
Vatsia
Amgad N
AN
Makaryus
D000328:Adult; D017023:Coronary Angiography / Q000379:methods*; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D012850:Sinus of Valsalva / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed / Q000379:methods*