An Extremely Rare Presentation of Four Coronary Anomaly Patterns Originating from the Right Coronary Sinus
Background. “Coronary anomaly” is defined as the coronary feature or pattern seen in <1% of the population. The most common CAAs are anomalies of origin, specifically having a separate LCX and LAD origin with an incidence of 0.41%. The second most common anomaly is the LCX arising from the RCA (0...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2022/7125401 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832554722352955392 |
|---|---|
| author | Nabil Braiteh Wajeeh Rehman Wajiha Ali Owais Ahmed |
| author_facet | Nabil Braiteh Wajeeh Rehman Wajiha Ali Owais Ahmed |
| author_sort | Nabil Braiteh |
| collection | DOAJ |
| description | Background. “Coronary anomaly” is defined as the coronary feature or pattern seen in <1% of the population. The most common CAAs are anomalies of origin, specifically having a separate LCX and LAD origin with an incidence of 0.41%. The second most common anomaly is the LCX arising from the RCA (0.37%). Treatment options include CABG, coronary unroofing, reimplantation, or medical therapy. Case Presentation. We present the case of an 85-year-old male who presents with an acute coronary syndrome who was found to have an extremely rare combination of different coronary anomaly patterns including left main coronary artery (LMCA) atresia, small LAD arising posteriorly from the right coronary cusp, anomalous left circumflex artery arising from the RCA, and an anomalous LAD arising from the left circumflex artery which is originating from the RCA. Conclusions. To the best of our knowledge, this is the first case report to describe four coronary anomalies in a single patient. When CAAs are diagnosed, it is of utmost importance for cardiologists to do further imaging and workup that might include a stress test to be able to offer patients the best management options. |
| format | Article |
| id | doaj-art-97e979a18eb34a13899cf82474a78b00 |
| institution | Kabale University |
| issn | 2090-6412 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-97e979a18eb34a13899cf82474a78b002025-02-03T05:50:44ZengWileyCase Reports in Cardiology2090-64122022-01-01202210.1155/2022/7125401An Extremely Rare Presentation of Four Coronary Anomaly Patterns Originating from the Right Coronary SinusNabil Braiteh0Wajeeh Rehman1Wajiha Ali2Owais Ahmed3United Health Services HospitalsUnited Health Services HospitalsAmerican University of Antigua College of MedicineUnited Health Services Hospitals (Heart & Vascular Institute)Background. “Coronary anomaly” is defined as the coronary feature or pattern seen in <1% of the population. The most common CAAs are anomalies of origin, specifically having a separate LCX and LAD origin with an incidence of 0.41%. The second most common anomaly is the LCX arising from the RCA (0.37%). Treatment options include CABG, coronary unroofing, reimplantation, or medical therapy. Case Presentation. We present the case of an 85-year-old male who presents with an acute coronary syndrome who was found to have an extremely rare combination of different coronary anomaly patterns including left main coronary artery (LMCA) atresia, small LAD arising posteriorly from the right coronary cusp, anomalous left circumflex artery arising from the RCA, and an anomalous LAD arising from the left circumflex artery which is originating from the RCA. Conclusions. To the best of our knowledge, this is the first case report to describe four coronary anomalies in a single patient. When CAAs are diagnosed, it is of utmost importance for cardiologists to do further imaging and workup that might include a stress test to be able to offer patients the best management options.http://dx.doi.org/10.1155/2022/7125401 |
| spellingShingle | Nabil Braiteh Wajeeh Rehman Wajiha Ali Owais Ahmed An Extremely Rare Presentation of Four Coronary Anomaly Patterns Originating from the Right Coronary Sinus Case Reports in Cardiology |
| title | An Extremely Rare Presentation of Four Coronary Anomaly Patterns Originating from the Right Coronary Sinus |
| title_full | An Extremely Rare Presentation of Four Coronary Anomaly Patterns Originating from the Right Coronary Sinus |
| title_fullStr | An Extremely Rare Presentation of Four Coronary Anomaly Patterns Originating from the Right Coronary Sinus |
| title_full_unstemmed | An Extremely Rare Presentation of Four Coronary Anomaly Patterns Originating from the Right Coronary Sinus |
| title_short | An Extremely Rare Presentation of Four Coronary Anomaly Patterns Originating from the Right Coronary Sinus |
| title_sort | extremely rare presentation of four coronary anomaly patterns originating from the right coronary sinus |
| url | http://dx.doi.org/10.1155/2022/7125401 |
| work_keys_str_mv | AT nabilbraiteh anextremelyrarepresentationoffourcoronaryanomalypatternsoriginatingfromtherightcoronarysinus AT wajeehrehman anextremelyrarepresentationoffourcoronaryanomalypatternsoriginatingfromtherightcoronarysinus AT wajihaali anextremelyrarepresentationoffourcoronaryanomalypatternsoriginatingfromtherightcoronarysinus AT owaisahmed anextremelyrarepresentationoffourcoronaryanomalypatternsoriginatingfromtherightcoronarysinus AT nabilbraiteh extremelyrarepresentationoffourcoronaryanomalypatternsoriginatingfromtherightcoronarysinus AT wajeehrehman extremelyrarepresentationoffourcoronaryanomalypatternsoriginatingfromtherightcoronarysinus AT wajihaali extremelyrarepresentationoffourcoronaryanomalypatternsoriginatingfromtherightcoronarysinus AT owaisahmed extremelyrarepresentationoffourcoronaryanomalypatternsoriginatingfromtherightcoronarysinus |