Department of Cardiology and Vascular Medicine, Faculty of Medicine, Airlangga University – Soetomo General Hospital, Surabaya, Indonesia.
Abstract
Rare congenital abnormalities known as “coronary artery abnormalities (CAAs)” have various pathophysiological causes and clinical manifestations. We describe a 50-year-old man who complained of recurrent shortness of breath. The patient had a 3-day history of the condition, which worsened with exertion. A coronary angiography, followed by a coronary computed tomography angiography, showed that the ostium of the left main coronary artery (LMCA) originated from the proximal right coronary artery. Our elderly patient with an uncommon CAA also had significant aortic stenosis. Coronary angiography and coronary computed tomography angiography are crucial procedures in these patients to confirm the diagnosis and choose the appropriate course of action. Despite its debatable effectiveness, coronary artery bypass grafting may be an option for young patients suffering from CAAs with interarterial courses, such as the left major coronary artery originating from the right coronary artery. (Iranian Heart Journal 2024; 25(1): 93-97)
P. Hospital, S. Paulo, M. S. D. A. Chaud, C. A. Agostinho, F. L. Malafaia, and P. Chaccur, “A Coronary Artery Anomaly Presenting as Acute Coronary Syndrome : A Case Report,” pp. 1–7, 2021, doi:10.12659/AJCR.931561.
Finocchiaro, “Anomalous Coronary Artery Origin and Sudden Cardiac Death,” vol. 5, no. 4, pp. 0–6, 2019, doi:10.1016/j.jacep.2018.11.015.
D. M. Villa et al., “abnormal,” vol. 8, no. 6, pp. 537–556, 2016, doi:10.4329/wjr.v8.i6.537.
F. Cerrito, V. Battisti, R. Malagò, G. Mansueto, and A. Rossi, “Anomalous Origin of Left Main Coronary Artery from the Right Coronary Artery: Echocardiographic Diagnosis,” vol. 3, no. 3, pp. 96–98, 2019.
F. Hill and M. N. Sheppard, “A silent cause of sudden cardiac death especially in sport : congenital coronary artery anomalies,” pp. 1–6, 2013, doi:10.1136/bjsports-2013-092195.
Yuksel et al., “clinicAl cArdiology : originAl ArTicle The primary anomalies of coronary artery origin and course : A coronary angiographic analysis of,” vol. 18, no. 4, pp. 121–123, 2013.
B. Nacar, “Case Report of a Rare Anomalous Origin of the Coronary Artery in a Patient with Severe Aortic Stenosis,” pp. 98–99, 2014, doi:10.1016/j.amjcard.2014.01.258.
Yuan, “Anomalous origin of coronary artery : taxonomy and clinical implication,” pp. 622–629, 2014, doi: 10.5935/1678-9741.20140109.
Ardiana, M., Sufiyah, I., & Ayuba, M. (2024). Chest Pain in a Patient With an Anomalous Coronary Artery and Multiple Valvular Diseases: What is the Culprit?. Iranian Heart Journal, 25(1), 93-97.
MLA
Meity Ardiana; Inna Maya Sufiyah; Melita Amalia Ayuba. "Chest Pain in a Patient With an Anomalous Coronary Artery and Multiple Valvular Diseases: What is the Culprit?". Iranian Heart Journal, 25, 1, 2024, 93-97.
HARVARD
Ardiana, M., Sufiyah, I., Ayuba, M. (2024). 'Chest Pain in a Patient With an Anomalous Coronary Artery and Multiple Valvular Diseases: What is the Culprit?', Iranian Heart Journal, 25(1), pp. 93-97.
VANCOUVER
Ardiana, M., Sufiyah, I., Ayuba, M. Chest Pain in a Patient With an Anomalous Coronary Artery and Multiple Valvular Diseases: What is the Culprit?. Iranian Heart Journal, 2024; 25(1): 93-97.
)