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Serpentine left circumflex coronary artery aneurysm as a rare cause of angina with contrast-enhanced multislice

Ziad Taimeh1, John Loughran, Sebastian Pagni

  • 1Department of Internal Medicine, University of Louisville, Louisville, KY, USA. zataim01@louisville.edu

The Heart Surgery Forum
|April 30, 2013
PubMed

Insights

Rare left circumflex coronary artery anomalies, including aneurysms and fistulas, can cause cardiac symptoms in adults. Multislice computed tomography aids in diagnosing these uncommon coronary artery anomalies.

Area of Science:

  • Cardiology
  • Radiology
  • Anatomical Pathology

Background:

  • Coronary artery anomalies are uncommon causes of cardiac symptoms, particularly in adults.
  • Left circumflex coronary artery anomalies are especially rare.

Observation:

  • A 40-year-old man presented with stable angina.
  • He was diagnosed with aneurysmal formation and fistulization of the left circumflex coronary artery to the coronary sinus.

Findings:

  • The patient's condition involved a rare anomaly of the left circumflex coronary artery.
  • Contrast-enhanced multislice computed tomography (CT) proved effective for diagnosis.

Implications:

  • This case highlights the importance of considering rare coronary anomalies in adult patients with angina.
  • Advanced imaging like multislice CT is crucial for accurate diagnosis and management planning.

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