A single coronary artery from the right sinus of valsalva associated with atherosclerosis
Cengiz Türkay1, Ilhan Gölbasi, Omer Bayezid
1Department of Cardiac Surgery, Akdeniz University School of Medicine, Antalya, Turkey. Turkay@med.akdeniz.edu.tr
Acta Cardiologica
|October 31, 2002
Insights
A rare single coronary artery anomaly originating from the aorta was treated with bypass surgery. The patient recovered well after receiving left and right internal mammary artery grafts.
Area of Science:
- Cardiovascular Medicine
- Congenital Heart Disease
- Interventional Cardiology
Background:
- Anomalous origin of the coronary arteries from the aorta is a rare congenital condition.
- Atherosclerosis, a common cardiovascular disease, can affect anomalous coronary arteries.
Observation:
- A case of a single coronary artery originating from the right sinus of Valsalva is presented.
- The patient had coexisting atherosclerosis in the anomalous coronary artery.
Findings:
- The patient underwent successful coronary artery bypass grafting.
- The left internal mammary artery (LIMA) was used to bypass the left anterior descending artery (LAD).
- The right internal mammary artery (RIMA) was used to bypass the right coronary artery (RCA).
Implications:
- This case highlights the successful surgical management of a rare coronary artery anomaly with atherosclerosis.
- Coronary artery bypass grafting using internal mammary arteries is a viable treatment option.
- Effective management can lead to favorable postoperative outcomes in complex coronary artery variations.
Abstract:
Anomalous origin of the main coronary arteries from the aorta is rare. We report a case with a single coronary artery from the right sinus of Valsalva associated with atherosclerosis. The patient was treated with a coronary artery bypass procedure: left internal mammary artery (LIMA) to the left anterior descending artery (LAD), right internal mammary artery (RIMA) to the right coronary artery (RCA). The postoperative course was uneventful.
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