A single coronary artery branching outa hyper-dominant right coronary artery and small left coronary arteries
Küçük Resim Yok
Tarih
2009
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Dergi ISSN
Cilt Başlığı
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Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
We described single coronary artery (SCA) in a 62-year-old male patient with chest pain who would have undergone a complicated noncardiac operation (Fig. 1-2, Video 1. See corresponding video/movie images at www.anakarder.com). In angiographic series, SCA is a rare congenital anomaly with an incidence of 0.024 percent. Three types of SCA have been characterized according to the origination from left, right or non-coronary aortic sinuses by Shirani and Roberts in an actual classification. The authors have determined up to 20 different subclasses of SCA so far (type IA1, B1-4 or type IIA1, B1-4, C1-4, D1-3, E1-2). However, SCA arising from non-coronary aortic sinus (type III) or above the aortic sinuses (unclassified) have not been defined yet. The pathway of the branches of SCA indicates its prognosis, which is worst if a major coronary artery courses between aorta and pulmonary artery or inside the heart. In our case, the SCA ramified a hyper-dominant right coronary artery and small left coronary arteries after a short main segment. We suggested that it is a type IIB1 SCA which is benign, originating from right aortic sinus and coursing anterior to the aorta and pulmonary artery and/or right ventricle. The appearance of higher location of the solitary ostium needs more definitive evaluation to characterize a new type of SCA (Fig. 1). It has a vital importance to define some subclasses of SCA for surgical treatment regardless of whether or not significant coronary atherosclerosis is present because they could be associated with serious consequences such as angina pectoris, myocardial infarction, ventricular arrhythmia and sudden death.
Açıklama
Anahtar Kelimeler
Kaynak
Anadolu Kardiyoloji Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
9
Sayı
2
Künye
Vural, M., Şatıroğlu, Ö. ve Dağdeviren, B. (2009). A single coronary artery branching outa hyper-dominant right coronary artery and small left coronary arteries. Anadolu Kardiyoloji Dergisi, 9(2).
