Öz
Nadir olmasına rağmen sol koroner arter anomalileri, aritmi ve kardiyak arrest gibi yüksek mortaliteli komplikasyonlara neden olabilir. Koroner dışı sinüsten köken alan sol ana koroner arter anomalisi nadiren görülür. Bu anomali geçmişte bazı yazarlar tarafından iyi huylu bir anormallik olarak tanımlanmış olsa da literatürde bazı durumlarda morbidite ve mortaliteye neden olduğu tanımlanmıştır. Bilgisayarlı tomografi anjiyografide atipik göğüs ağrısı ile başvuran bir hastada koroner dışı kaynaklı bir sol ana koroner arter olgusunu sunuyoruz.
Anahtar Kelimeler
Koroner arter anomalisi non-koroner sinüs bilgisayarlı tomografi anjiyografi
Kaynakça
- Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn. 1990; 21 (1): 28-40.
- Yildiz A, Okcun B, Peker T, Arslan C, Olcay A, Bulent Vatan M. Prevalence of coronary artery anomalies in 12,457 adult patients who underwent coronary angiography. Clin Cardiol. 2010; 33 (12): E60-4.
- Pérez-Pomares JM, de la Pompa JL, Franco D, Henderson D, Ho SY, Houyel L et. al. Congenital coronary artery anomalies: a bridge from embryology to anatomy and pathophysiology--a position statement of the development, anatomy, and pathology ESC Working Group. Cardiovasc Res. 2016; 109 (2): 204-16.
- Datta J, White CS, Gilkeson RC, Meyer CA, Kansal S, Jani ML, et. al. Anomalous coronary arteries in adults: depiction at multi-detector row CT angiography. Radiology. 2005; 235 (3): 812-8.
- Barna L, Takács-Szabó Z, Kostyál L. Coronariaeredési anomáliák kardio-CT-vizsgálatok során [Anomalies of coronary origin detected by cardiac CT]. Orv Hetil. 2020; 161 (47):1995-9.
- Villa AD, Sammut E, Nair A, Rajani R, Bonamini R, Chiribiri A. Coronary artery anomalies overview: The normal and the abnormal. World J Radiol. 2016; 8 (6): 537-55.
- Bravo-Jaimes K, Balan P, Garcia-Sayan E. Controversies on the Cusp: Anomalous Origin of the Left Coronary Artery From the Non-Coronary Cusp. Cureus. 2020;12 (5):e7993.
- Mavi A, Ayalp R, Serçelik A, Pesţemalci T, Batyraliev T, Gümüşburun E. Frequency in the anomalous origin of the left main coronary artery with angiography in a Turkish population. Acta Med Okayama. 2004; 58 (1): 17-22.
- Anwar S, Brook M, Mavroudis C, Hobbs R, Lorber R. Anomalous origin of the left coronary artery from the noncoronary cusp: not a benign lesion. Pediatr Cardiol. 2012; 33 (7): 11879.
Extremely rare coronary artery anomaly: Left main coronary artery originating from the non-coronary sinus
Öz
Although they are rare, left coronary artery anomalies can cause complications with high mortality, including arrhythmia and cardiac arrest. Left main coronary artery originates from the non-coronary sinus abnormality is rarely observed. This abnormality has been defined as a benign pathology in the past, although it is described in the literature to cause morbidity and mortality in some cases. We present very rare case of the left main coronary artery arising from non-coronary sinus detected on CCTA.
Anahtar Kelimeler
Coronary artery anomaly non-coronary sinus computed tomography angiography
Kaynakça
- Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn. 1990; 21 (1): 28-40.
- Yildiz A, Okcun B, Peker T, Arslan C, Olcay A, Bulent Vatan M. Prevalence of coronary artery anomalies in 12,457 adult patients who underwent coronary angiography. Clin Cardiol. 2010; 33 (12): E60-4.
- Pérez-Pomares JM, de la Pompa JL, Franco D, Henderson D, Ho SY, Houyel L et. al. Congenital coronary artery anomalies: a bridge from embryology to anatomy and pathophysiology--a position statement of the development, anatomy, and pathology ESC Working Group. Cardiovasc Res. 2016; 109 (2): 204-16.
- Datta J, White CS, Gilkeson RC, Meyer CA, Kansal S, Jani ML, et. al. Anomalous coronary arteries in adults: depiction at multi-detector row CT angiography. Radiology. 2005; 235 (3): 812-8.
- Barna L, Takács-Szabó Z, Kostyál L. Coronariaeredési anomáliák kardio-CT-vizsgálatok során [Anomalies of coronary origin detected by cardiac CT]. Orv Hetil. 2020; 161 (47):1995-9.
- Villa AD, Sammut E, Nair A, Rajani R, Bonamini R, Chiribiri A. Coronary artery anomalies overview: The normal and the abnormal. World J Radiol. 2016; 8 (6): 537-55.
- Bravo-Jaimes K, Balan P, Garcia-Sayan E. Controversies on the Cusp: Anomalous Origin of the Left Coronary Artery From the Non-Coronary Cusp. Cureus. 2020;12 (5):e7993.
- Mavi A, Ayalp R, Serçelik A, Pesţemalci T, Batyraliev T, Gümüşburun E. Frequency in the anomalous origin of the left main coronary artery with angiography in a Turkish population. Acta Med Okayama. 2004; 58 (1): 17-22.
- Anwar S, Brook M, Mavroudis C, Hobbs R, Lorber R. Anomalous origin of the left coronary artery from the noncoronary cusp: not a benign lesion. Pediatr Cardiol. 2012; 33 (7): 11879.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Görüntü Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 13 Haziran 2022 |
| Gönderilme Tarihi | 27 Mayıs 2021 |
| Yayımlandığı Sayı | Yıl 2022 |