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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
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Single left coronary artery with origin of right coronary artery from left circumflex: a case report

Mohammad Shojaie1, Ahad Eshraghian

  • 1Internal Medicine Department, Jahrom University of Medical Science, Iran. eshraghiana@yahoo.com.

Cases Journal
|November 29, 2008
PubMed

Insights

A rare coronary artery anomaly, mimicking atherosclerotic coronary artery disease, caused chest pain and dyspnea. Early diagnosis is crucial as symptoms are indistinguishable from typical heart disease.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Anatomical Variations

Background:

  • A 40-year-old female experienced exertional chest pain and dyspnea.
  • Symptoms suggested potential atherosclerotic coronary artery disease.

Purpose of the Study:

  • To report a rare coronary artery anomaly.
  • To highlight diagnostic challenges in differentiating from coronary artery disease.

Main Methods:

  • Electrocardiography (ECG) revealed ST-depression.
  • Exercise treadmill testing (ETT) showed further ST-depression.
  • Coronary angiography identified a single left coronary artery with an anomalous origin of the right coronary artery.

Main Results:

  • The patient presented with symptoms consistent with myocardial ischemia.
  • Diagnostic tests indicated significant ST-segment changes.
  • Coronary angiography revealed a rare coronary artery anomaly without obstructive atherosclerotic lesions.

Conclusions:

  • A single left coronary artery with anomalous right coronary artery origin is a rare condition.
  • Symptoms of this anomaly can be indistinguishable from atherosclerotic coronary artery disease.
  • Accurate diagnosis of this anomaly is vital for appropriate patient management.
Abstract

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