Anomalous origin of the left coronary artery from the right sinus of Valsalva, even though rare, has been documented well in literature. However the association of this anomaly with coronary fistulae has been rarely reported so far. We report the case of a 76-year-old female who presented to us with exertional dyspnoea. General physical and cardiovascular examination revealed no significant abn...

INTRODUCTION We report a rare coronary anomaly presenting with aborted sudden death in an octogenarian. An anomalous left coronary artery from the pulmonary artery is a rare coronary anomaly which usually presents in the first year of life. Survival into adulthood and the elderly years is extremely rare. CASE PRESENTATION An 85-year-old Caucasian woman was brought to our hospital following ca...

INTRODUCTION Coronary artery anomalies are found in 0.4% to 1.4% of patients who undergo coronary angiography. Anomalous origin of left coronary artery from the right sinus of Valsava is the rarest, with a reported prevalence of 0.02 -0.03% according to angiographic studies. CASE PRESENTATION We present the rare case of a 42-year-old-man suffering from stable angina with unusual development o...

The anomalous origin of the right coronary artery (RCA) from the left anterior descending (LAD) artery is rare. We report a case of single coronary artery with proximal LAD severe stenosis. The RCA originated from an unreported course of conal branch from the LAD. This anomalous RCA also had collaterals from left circumflex. Coronary intervention was successfully carried out on a severe stenosi...

BACKGROUND Abnormal separation of right coronary artery (RCA) from the left coronary system is an extremely rare variation among coronary artery anomalies. The compressions on the anomalous route of this artery may lead to arrhythmia, chest pain, or left ventricular dysfunction or may enhance formation of atherosclerotic plaques. CASE REPORT Here, we have reported a patient presented with hea...

An anomalous origin of the left circumflex coronary artery that arises as a side branch of the right coronary artery from the right coronary sinus of Valsalva encircling the aortic annulus is usually an incidental finding. However, in patients undergoing aortic valve procedures, its existence can significantly complicate the surgical treatment. We report our operative strategy in patients with ...

Percutaneous coronary intervention in patients with anomalous origin of right coronary artery from left sinus of Valsalva was performed in Central Chest Institute during 2005-2009. The diagnosis of this type of congenital anomaly is always difficult, since it requires high operator's consideration and experience. Standard catheter curve desired for general coronary angiography is also not suita...

Coronary artery anomalies are found in 0.6% to 1.55% of patients who undergo coronary artery radiographic tomography [1-5] and the increasing use of diagnostic coronary angiography (CAG) is uncovering even more such abnormalities. Anomalous origin of the left main coronary artery (LMCA) from the right sinus of Valsalva is reported in 0.09% to 0.15% of cases [1-6]. Indeed, most coronary anomalie...

Anomalous coronary artery from the opposite sinus is a rare congenital anomaly that can present with symptoms similar to coronary artery disease, and sudden cardiac death. Management of anomalous coronary artery from the opposite sinus varies; however, current guidelines suggest surgery in symptomatic patients. Our patient is a middle-aged male with a history of coronary artery disease and stat...

artery, and it has been suggested that these patients should be treated by bypass surgery. The mechanism for sudden death is not known. Theories include kinking of the anomalous artery2 and occlusion by a flap-like closure of the ostium as the aorta expands.3 However, sudden death, infarction, and ischemia may occur without regard to the course of the anomalous left coronary artery.4 In the pas...