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Malignant anomalous left coronary artery associated with acute coronary syndrome and subsequent post-operative secondary stenosis of the reimplanted anomalous left coronary artery

Published online by Cambridge University Press:  28 May 2012

Debasish Banerjee ,
Mohanaluxmi Sriharan  and
Edward D. Nicol
Debasish Banerjee
Affiliation:
Department of Radiology, Royal Brompton Hospital and Harefield NHS Trust, London, United Kingdom
Mohanaluxmi Sriharan*
Affiliation:
Department of Radiology, Royal Brompton Hospital and Harefield NHS Trust, London, United Kingdom
Edward D. Nicol
Affiliation:
Department of Radiology, Royal Brompton Hospital and Harefield NHS Trust, London, United Kingdom Department of Cardiology, Royal Brompton Hospital and Harefield NHS Trust, London, United Kingdom
*
Correspondence to: Dr M. Sriharan, MBBS, MRCP, FRCR, Royal Brompton Hospital and Harefield NHS Trust, Sydney Street, London SW3 6NP, United Kingdom. Tel: +44 207 351 2855; Fax: +44 207 351 8577; E-mail: m.sriharan@rbht.nhs.uk
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Abstract

We present a case of a 14-year-old boy who presented with symptoms resulting from an anomalous left coronary artery. He underwent corrective surgery to reimplant the left coronary artery into the left coronary sinus. After 3 months, he developed new symptoms. On further investigation, a tight ostial stenosis of the left coronary artery was observed and the patient underwent left internal mammary artery to left anterior descending coronary artery bypass graft. This case showcases the importance of multi-modality imaging in the diagnosis of coronary artery anomalies and potential post-surgical complications.

Keywords

Coronary arteryaberrant coronary arterycomputed tomographyreimplantation surgeryostial stenosis
Type
Brief Report
Information
Cardiology in the Young , Volume 23 , Issue 1 , February 2013 , pp. 149 - 153
Copyright
Copyright © Cambridge University Press 2012

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References

1. Baltaxe, HA, Wixson, D. The incidence of congenital anomalies of the coronary arteries in the adult population. Radiology 1977; 122: 47–52.CrossRefGoogle ScholarPubMed
2. Click, RL, Holmes, DR Jr, Vlietstra, RE, et al. Anomalous coronary arteries: location, degree of atherosclerosis and effect on survival – a report from the Coronary Artery Surgery Study. J Am Coll Cardiol 1989; 13: 531–537.CrossRefGoogle ScholarPubMed
3. Yamanaka, O, Hobbs, RE. Coronary artery anomalies in 126,595 patients undergoing coronary angiography. Cathet Cardiovasc Diagn 1990; 21: 28–40.CrossRefGoogle Scholar
4. Mumtaz, MA, Lorber, RE, Arruda, J, et al. Surgery for anomalous aortic origin of the coronary artery. Ann Thorac Surg 2011; 91: 811–815.CrossRefGoogle ScholarPubMed
5. Eckart, RE, Scoville, SL, Campbell, CL, et al. Sudden death in young adults: a 25-year review of autopsies in military recruits. Ann Intern Med 2004; 141: 829–834.CrossRefGoogle ScholarPubMed
6. Lipsett, J, Cohle, SD, Berry, PJ, et al. Anomalous coronary arteries: a multicentre paediatric autopsy study. Fetal Paediatr Pathol 1994; 14: 287–300.CrossRefGoogle Scholar
7. Kim, SY, Seo, JB, Do, KH, et al. Coronary artery anomalies: classification and ECG-gated multidetector row CT findings with angiographic correlation. Radiographics 2006; 26: 317–333.CrossRefGoogle ScholarPubMed
8. Cademartiri, F, La Grutta, L, Malago, R, et al. Prevalence of anatomical variants and coronary anomalies in 543 consecutive patients studied with 64-slice CT coronary angiography. Eur Radiol 2008; 18: 781–791.CrossRefGoogle ScholarPubMed
9. Jaggers, J, Pal, J. Surgical therapy for anomalous aortic origin of the coronary arteries. Oper Tech Thorac Cardiovasc Surg 2008; 13: 26–34.CrossRefGoogle Scholar
10. Reul, RM, Cooley, DA, Hallman, GL, et al. Surgical treatment of coronary artery anomalies. Tex Heart Inst J 2002; 29: 299–307.Google ScholarPubMed
11. Erez, E, Tam, VK, Doublin, NA, et al. Anomalous coronary artery with aortic origin and course between the great arteries: improved diagnosis, anatomic findings, and surgical treatment. Ann Thorac Surg 2006; 82: 973–977.CrossRefGoogle ScholarPubMed
12. Gulati, R, Reddy, VM, Culbertson, C, et al. Surgical management of coronary artery arising from the wrong coronary sinus, using standard and novel approaches. J Thorac Cardiovasc Surg 2007; 134: 1171–1178.CrossRefGoogle ScholarPubMed
13. Davis, JA, Cecchin, F, Jones, TK, et al. Major coronary artery anomalies in a paediatric population: incidence and clinical importance. J Am Coll Cardiol 2001; 37: 593–597.CrossRefGoogle Scholar