Hostname: page-component-7479d7b7d-k7p5g Total loading time: 0 Render date: 2024-07-12T17:29:18.133Z Has data issue: false hasContentIssue false

Can ectopic right coronary from the left sinus have a different course than intramural? A case of ectopic right with retroaortic course

Published online by Cambridge University Press:  11 February 2022

Paolo Angelini*
Affiliation:
Department of Cardiology, Texas Heart Institute, Houston, TX, USA
Carlo Uribe
Affiliation:
Department of Cardiology, Texas Heart Institute, Houston, TX, USA
Eduardo Hernandez
Affiliation:
Department of Cardiology, Texas Heart Institute, Houston, TX, USA
*
Author for correspondence: P. Angelini, Department of Cardiology, Texas Heart Institute, 6624 Fannin Street, Suite 2780, Houston, TX 77030, USA. Tel: 713-790-9401; Fax: 719-790-0353. E-mail: pangelini@texasheart.org

Abstract

Retrocardiac course of an ectopic right coronary artery is newly described. The alternative (usual) course of an anomalous right coronary from the left sinus of Valsalva is pre-aortic and intramural, with stenosis. In the present exceptional case, there was no stenosis.

Type
Brief Report
Copyright
© The Author(s), 2022. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Angelini, P, Uribe, C, Monge, J, et al. Origin of the right coronary artery from the opposite sinus of Valsalva in adults: characterization by intravascular ultrasonography at baseline and after stent angioplasty. Catheter Cardiovasc Interv 2015; 86: 199208.CrossRefGoogle ScholarPubMed
Angelini, P, Cheong, BY, Lenge De Rosen, VV, et al. High-risk cardiovascular conditions in sports-related sudden death: prevalence in 5,169 schoolchildren screened via cardiac magnetic resonance. Tex Heart Inst J 2018; 45: 205213.CrossRefGoogle ScholarPubMed
Gholoobi, A, Poorzand, H. Single coronary artery anomaly: report of an extremely rare variation. Asian Cardiovasc Thorac Ann 2017; 25: 459462.CrossRefGoogle ScholarPubMed
Yamanaka, O, Hobbs, RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990; 21: 2840.CrossRefGoogle ScholarPubMed
Misawa, Y, Saito, T, Oki, S, Fuse, K. Management of anomalous right coronary arteries encountered during aortic valve surgery. Eur J Cardiothorac Surg 2002; 21: 102104.CrossRefGoogle ScholarPubMed
Angelini, P, Uribe, C. Anatomic spectrum of left coronary artery anomalies and associated mechanisms of coronary insufficiency. Catheter Cardiovasc Interv 2018; 92: 313321.CrossRefGoogle ScholarPubMed
Opolski, MP, Pregowski, J, Kruk, M, et al. Prevalence and characteristics of coronary anomalies originating from the opposite sinus of Valsalva in 8,522 patients referred for coronary computed tomography angiography. Am J Cardiol 2013; 111: 13611367.CrossRefGoogle ScholarPubMed
Pirelli, L, Yu, PJ, Srichai, MB, et al. Ectopic origin of left coronary ostium from left ventricle, with occlusive membrane: a previously unreported anomaly, with an embryologic interpretation. Tex Heart Inst J 2008; 35: 162165.Google ScholarPubMed
Brothers, JA, Gaynor, JW, Jacobs, JP, Poynter, JA, Jacobs, ML. The Congenital Heart Surgeonsʼ Society registry of anomalous aortic origin of a coronary artery: an update. Cardiol Young 2015; 25: 15671571.CrossRefGoogle ScholarPubMed
Shirani, J, Roberts, WC. Solitary coronary ostium in the aorta in the absence of other major congenital cardiovascular anomalies. J Am Coll Cardiol 1993; 21: 137143.CrossRefGoogle ScholarPubMed
Supplementary material: Image

Angelini et al. supplementary material

Angelini et al. supplementary material 1

Download Angelini et al. supplementary material(Image)
Image 958.3 KB
Supplementary material: Image

Angelini et al. supplementary material

Angelini et al. supplementary material 2

Download Angelini et al. supplementary material(Image)
Image 849.2 KB