Anomalous origin of the left main coronary artery in a 62‑year‑old woman: a case report and review of the literature
Abstract Introduction Abnormalities of the coronary arteries, including abnormal origins, are often detected in heart patients who undergo coronary angiography. Although only a small percentage of these abnormalities lead to serious complications, the consequences can be extremely fatal. Case presen...
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| Format: | Article |
| Language: | English |
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BMC
2025-02-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-024-03217-5 |
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| _version_ | 1823861624056840192 |
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| author | Mohammad Safariyan Najmeh Mohammadrafie Soheila Pourmasumi Vahid Mohammadi Xiao Xu Alaa Hamza Hermis Mohammed Musaed Al-Jabri Farkhondeh Jafarian Mohammad Ali Zakeri |
| author_facet | Mohammad Safariyan Najmeh Mohammadrafie Soheila Pourmasumi Vahid Mohammadi Xiao Xu Alaa Hamza Hermis Mohammed Musaed Al-Jabri Farkhondeh Jafarian Mohammad Ali Zakeri |
| author_sort | Mohammad Safariyan |
| collection | DOAJ |
| description | Abstract Introduction Abnormalities of the coronary arteries, including abnormal origins, are often detected in heart patients who undergo coronary angiography. Although only a small percentage of these abnormalities lead to serious complications, the consequences can be extremely fatal. Case presentation We report the case of a 62-year-old woman who presented with chest pain. The patient has a history of hypertension and complains of chest pain that worsens with walking and improves with rest. A basic electrocardiogram (ECG) showed sinus rhythm with no signs of arrhythmia or ischemic changes. Coronary angiography revealed an anomalous left coronary artery originating from the right sinus of Valsalva (RSoV). Conclusions We report a rare case of an anomalous left coronary artery originating from the RSoV without specific clinical symptoms. The patient presented with unstable angina, and after further investigation, this anomaly was diagnosed. Investigating these abnormalities, especially in young individuals with cardiac symptoms, should be prioritized. Cardiologists should also be aware of this rare condition that can have fatal consequences. |
| format | Article |
| id | doaj-art-276ddbb1ffe64282ae50ab778fe86450 |
| institution | Kabale University |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-276ddbb1ffe64282ae50ab778fe864502025-02-09T12:53:51ZengBMCJournal of Cardiothoracic Surgery1749-80902025-02-012011910.1186/s13019-024-03217-5Anomalous origin of the left main coronary artery in a 62‑year‑old woman: a case report and review of the literatureMohammad Safariyan0Najmeh Mohammadrafie1Soheila Pourmasumi2Vahid Mohammadi3Xiao Xu4Alaa Hamza Hermis5Mohammed Musaed Al-Jabri6Farkhondeh Jafarian7Mohammad Ali Zakeri8Non-Communicable Diseases Research Center, Rafsanjan University of Medical SciencesGeriatric Care Research Center, Rafsanjan University of Medical SciencesPistachio Safety Research Center, Rafsanjan University of Medical SciencesSocial Determinants of Health Research Center, Rafsanjan University of Medical SciencesDepartment of Nursing, Nantong Health College of Jiangsu ProvinceNursing College, Al-Mustaqbal UniversityPrince Sattam bin Abdulaziz University, College of Applied Medical Sciences, Nursing DepartmentOccupational Environment Research Center, Rafsanjan University of Medical SciencesMolecular Medicine Research Center, Research Institute of Basic Medical Sciences, Rafsanjan University of Medical SciencesAbstract Introduction Abnormalities of the coronary arteries, including abnormal origins, are often detected in heart patients who undergo coronary angiography. Although only a small percentage of these abnormalities lead to serious complications, the consequences can be extremely fatal. Case presentation We report the case of a 62-year-old woman who presented with chest pain. The patient has a history of hypertension and complains of chest pain that worsens with walking and improves with rest. A basic electrocardiogram (ECG) showed sinus rhythm with no signs of arrhythmia or ischemic changes. Coronary angiography revealed an anomalous left coronary artery originating from the right sinus of Valsalva (RSoV). Conclusions We report a rare case of an anomalous left coronary artery originating from the RSoV without specific clinical symptoms. The patient presented with unstable angina, and after further investigation, this anomaly was diagnosed. Investigating these abnormalities, especially in young individuals with cardiac symptoms, should be prioritized. Cardiologists should also be aware of this rare condition that can have fatal consequences.https://doi.org/10.1186/s13019-024-03217-5Coronary vessel anomaliesDiagnosisComplicationsTherapyLeft mainCoronary artery |
| spellingShingle | Mohammad Safariyan Najmeh Mohammadrafie Soheila Pourmasumi Vahid Mohammadi Xiao Xu Alaa Hamza Hermis Mohammed Musaed Al-Jabri Farkhondeh Jafarian Mohammad Ali Zakeri Anomalous origin of the left main coronary artery in a 62‑year‑old woman: a case report and review of the literature Journal of Cardiothoracic Surgery Coronary vessel anomalies Diagnosis Complications Therapy Left main Coronary artery |
| title | Anomalous origin of the left main coronary artery in a 62‑year‑old woman: a case report and review of the literature |
| title_full | Anomalous origin of the left main coronary artery in a 62‑year‑old woman: a case report and review of the literature |
| title_fullStr | Anomalous origin of the left main coronary artery in a 62‑year‑old woman: a case report and review of the literature |
| title_full_unstemmed | Anomalous origin of the left main coronary artery in a 62‑year‑old woman: a case report and review of the literature |
| title_short | Anomalous origin of the left main coronary artery in a 62‑year‑old woman: a case report and review of the literature |
| title_sort | anomalous origin of the left main coronary artery in a 62 year old woman a case report and review of the literature |
| topic | Coronary vessel anomalies Diagnosis Complications Therapy Left main Coronary artery |
| url | https://doi.org/10.1186/s13019-024-03217-5 |
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