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. 2014 Mar;44(2):125-7.
doi: 10.4070/kcj.2014.44.2.125. Epub 2014 Mar 12.

An unusual pattern of all three coronary arteries originating from a single coronary artery arising from the right sinus of valsalva

Isa Oner Yuksel  1 , Sakir Arslan  1 , Nermin Bayar  1 , Selcuk Kucukseymen  1 , Erkan Koklu  1 , Bekir Erol  1
Affiliations

An unusual pattern of all three coronary arteries originating from a single coronary artery arising from the right sinus of valsalva

Isa Oner Yuksel et al. Korean Circ J. 2014 Mar.

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.

Keywords: Coronary angiography; Coronary vessel anomalies; Tomography.

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Conflict of interest statement

The authors have no financial conflicts of interest.

Figures

Fig. 1
Fig. 1
Right coronary angiography shows all three coronary arteries originating from the right sinus of Valsalva (right anterior oblique cranial projection).
Fig. 2
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
Fig. 3
Coronary CT angiography confirms that there is an anomalous origin of the left coronary artery arising from the right sinus of Valsalva.
See this image and copyright information in PMC

References

    1. Barriales Villa R, Morís C, López Muñiz A, et al. [Adult congenital anomalies of the coronary arteries described over 31 years of angiographic studies in the Asturias Principality: main angiographic and clinical characteristics] Rev Esp Cardiol. 2001;54:269–281. - PubMed
    1. Song SH, Suh SE, Jin SM, Moon JH, Cho YK, Lim SW. Myocardial ischemia caused by paroxysmal supraventricular tachycardia in a patient with anomalous origin of right coronary artery arising from left sinus of valsalva. Korean Circ J. 2013;43:123–126. - PMC - PubMed
    1. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn. 1990;21:28–40. - PubMed
    1. Makaryus AN, Orlando J, Katz S. Anomalous origin of the left coronary artery from the right coronary artery: a rare case of a single coronary artery originating from the right sinus of Valsalva in a man with suspected coronary artery disease. J Invasive Cardiol. 2005;17:56–58. - PubMed
    1. Lipton MJ, Barry WH, Obrez I, Silverman JF, Wexler L. Isolated single coronary artery: diagnosis, angiographic classification, and clinical significance. Radiology. 1979;130:39–47. - PubMed

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