Coronary Vessel Anomalies ; Humans ; Myocardial Bridging

Coronary Vessel Anomalies ; diagnosis ; Diagnostic Imaging ; Humans ; Myocardial Bridging

A single coronary artery is a rare congenital anomaly. The right coronary artery, originating from distal left circumflex, is an extremely rare variety of a single coronary artery. Our report is accompanied by a brief review of the literature.
Coronary Vessel Anomalies ; Coronary Vessels*

Adult ; Coronary Vessel Anomalies ; complications ; Death, Sudden ; Fatal Outcome ; Humans ; Male ; Myocardial Bridging ; complications

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) has rarely been reported on in adults because 90% of the untreated infants die in the first year of life. We report here on a case of ALCAPA that was detected in a 41-year-old woman and she was successfully treated by direct re-implantation of the anomalous coronary artery into the aorta.
Adult* ; Aorta ; Bland White Garland Syndrome ; Coronary Vessel Anomalies ; Coronary Vessels* ; Female ; Humans ; Infant ; Mitral Valve Insufficiency ; Pulmonary Artery*

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare coronary artery anomaly and double right coronary artery (RCA) is a very rare coronary anomaly. Because patients with ALCAPA usually die within 1 year of being born due to myocardial infarction (MI) and heart failure, ALPACA is very rarely seen in adults. Here, we report an extremely rare asymptomatic case of MI, presumably caused by ALCAPA and double RCA, and provide a review of the literature. This is the first reported case of coronary artery anomaly that had both ALCAPA and double RCA.
Adult ; Bland White Garland Syndrome ; Camelids, New World ; Coronary Vessel Anomalies ; Coronary Vessels ; Heart Failure ; Humans ; Myocardial Infarction ; Pulmonary Artery

An anomalous origin of the left coronary artery (LCA )from the pulmonary artery (ALCAPA syndrome )or Bland-White-Garland syndrome is a rare congenital cardiac anomaly. We report a 65-year old female patient who presented with atypical chest discomfort. Coronary angiography and three-dimensional multidetector computed tomography coronary angiography demonstrated the ectatic right coronary artery (RCA )arising from the aorta, rich collaterals from the RCA to LCA and the ectatic tortuous LCA that originated from the pulmonary trunk.
Aged* ; Aorta ; Bland White Garland Syndrome ; Collateral Circulation ; Coronary Angiography* ; Coronary Vessel Anomalies ; Coronary Vessels* ; Female ; Humans ; Multidetector Computed Tomography ; Pulmonary Artery* ; Thorax

BACKGROUND: For the surgical management of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), there have been various techniques that reduce the tension and kinking of the coronary artery during reimplantation to the aorta. The aim of this study is to describe the results of our modified technique of coronary reimplantation for the treatment of ALCAPA. METHODS: Between October 2003 and February 2011, seven patients underwent coronary reimplantation with the modified technique (tubing formation with the sinus wall of the pulmonary artery and trapdoor formation at the site of implantation in the aorta). The median follow-up duration was 52 months (range, 4 to 72 months). Clinical outcomes and serial echocardiographic data were reviewed. RESULTS: There was no mortality. One patient had a small amount of cerebral hemorrhage postoperatively and improved without any sequelae. Another patient had left diaphragm palsy and underwent diaphragm plication. Follow-up echocardiogram showed that all patients had normal ventricular function without chamber enlargement. CONCLUSION: Our modified technique (tubing formation with the sinus wall of the pulmonary artery and trapdoor formation at the site of implantation in the aorta) demonstrated successful clinical outcomes. We conclude that this surgical technique can be a potential alternative for the treatment of ALCAPA.
Aorta ; Bland White Garland Syndrome ; Cerebral Hemorrhage ; Coronary Vessel Anomalies ; Coronary Vessels* ; Diaphragm ; Echocardiography ; Follow-Up Studies ; Heart Defects, Congenital ; Humans ; Mortality ; Paralysis ; Pulmonary Artery* ; Replantation ; Ventricular Function

An anomalous origin of the coronary artery is an infrequent but significant cause of myocardial ischemia and sudden death. A left coronary artery arising from the right sinus of Valsalva is of clinical value due to its possible association with sudden cardiac death, particularly when it courses between the aorta and pulmonary trunks. Nevertheless, it is amenable to appropriate surgical intervention, thereby emphasizing the importance of clinical suspicion and timely identification. We report the case of a 14-year-old boy, who presented with acute myocardial infarction of the anterior wall, with an anomalous left coronary artery originating from the right sinus of Valsalva. Transthoracic echocardiographic evaluations of the anomalous origin of the coronary artery and Doppler finding of a 'finger-tip phenomenon', which can be observed under circumstances of myocardial bridging, allowed the diagnosis of this anomaly.
Adolescent* ; Aorta ; Coronary Vessel Anomalies ; Coronary Vessels* ; Death, Sudden ; Death, Sudden, Cardiac ; Diagnosis ; Echocardiography ; Humans ; Male* ; Myocardial Bridging ; Myocardial Infarction* ; Myocardial Ischemia ; Sinus of Valsalva

Spontaneous coronary artery dissection (SCAD) and woven coronary artery anomaly (WCAA) are relatively rare. A few of the previously reported woven coronary artery cases have involved in a single coronary artery. We present an unusual woven case involving all coronary arteries and two patient with SCAD. We have also reviewed the literature related to these disease, as they resemble one another.
Coronary Angiography ; Coronary Disease ; Coronary Vessel Anomalies ; Coronary Vessels ; Humans