Korean Circ J.  2014 Mar;44(2):125-127. 10.4070/kcj.2014.44.2.125.

An Unusual Pattern of All Three Coronary Arteries Originating from a Single Coronary Artery Arising from the Right Sinus of Valsalva

• Yuksel IO
• Arslan S
• Bayar N
• Kucukseymen S
• Koklu E
• Erol B

• KMID: 2223903
• DOI: http://doi.org/10.4070/kcj.2014.44.2.125

Abstract

Anomalous origin of coronary arteries is generally asymptomatic and a rare disease. However, some cases can cause severe life-threatening events such as myocardial ischemia, arrhythmia, and acute myocardial infarction. We describe a case of a single coronary artery arising from the right sinus of Valsalva in a 48-year-old female patient with a complaint of stable angina pectoris and palpitations. Coronary angiography revealed that all three coronary arteries arose from the right sinus. Coronary CT angiography confirmed that there was an anomalous origin of the left coronary artery arising from the right sinus of Valsalva. The patient was managed with conservative treatment.

Keyword

Coronary vessel anomalies; Coronary angiography; Tomography

MeSH Terms

Angina, Stable
Angiography
Arrhythmias, Cardiac
Coronary Angiography
Coronary Vessel Anomalies
Coronary Vessels*
Female
Humans
Middle Aged
Myocardial Infarction
Myocardial Ischemia
Rare Diseases
Sinus of Valsalva*

Figure

• 

  Fig. 1 Right coronary angiography shows all three coronary arteries originating from the right sinus of Valsalva (right anterior oblique cranial projection).

• 

  Fig. 2 The right Judkins catheter is gently pull back and the left coronary arteries clearly visualize (left anterior oblique cranial projection). In this image, the left anterior descending coronary artery originates from the right sinus of Valsalva, then remains in its own way on Cx artery.

• 

  Fig. 3 Coronary CT angiography confirms that there is an anomalous origin of the left coronary artery arising from the right sinus of Valsalva.

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