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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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Anomalous origin of the left coronary artery from the right coronary sinus

Mehmet Cengiz Colak1, Nevzat Erdil, Olcay Disli

  • 1Inonu University, Medical Faculty, Department of Cardiovascular Surgery, Malatya, Turkey. drmccolak@yahoo.com

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
|May 11, 2012
PubMed

Insights

A rare congenital anomaly, anomalous origin of the left coronary artery (LCA) from the right coronary artery sinus, was identified in a 48-year-old man. Surgical intervention was successful in treating his coronary artery disease.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Interventional Cardiology

Background:

  • Anomalous origin of the left coronary artery (LCA) from the right coronary artery sinus is a rare congenital coronary anomaly.
  • The patient presented with a history of hypertension, type 2 diabetes mellitus, myocardial infarction, and hypercholesterolemia.

Observation:

  • Coronary angiography revealed an anomalous LCA originating from the right coronary artery sinus.
  • Stenosis of the right coronary artery (RCA) and a stenotic diagonal artery were also detected.

Findings:

  • The patient underwent successful coronary artery bypass grafting using the left internal mammarian artery to the diagonal artery and the saphenous vein to the RCA.
  • The surgical outcome was favorable, addressing the complex coronary anatomy.

Implications:

  • This case highlights the importance of thorough coronary angiography and intraoperative assessment in patients with anomalous coronary arteries.
  • Accurate diagnosis and tailored surgical strategies are crucial for managing complex congenital coronary anomalies and associated coronary artery disease.

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