Significant stenoses of twin circumflex arteries accompanied by heart failure: a rare coronary artery anomaly
Darvan Cicek1, Seher Gokay2, Halil Olcay Eldem1
1Department of Cardiology, Baskent University School of Medicine, Alanya/Antalya.
Insights
A rare case of symptomatic heart failure caused by stenotic double circumflex coronary arteries is presented. This condition, originating from both left and right sinuses of Valsalva, was successfully treated with percutaneous coronary intervention.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Imaging
Background:
- Coronary artery anomalies are often incidental findings, with anomalous circumflex origin from the right sinus of Valsalva being most common.
- Symptomatic presentation of coronary anomalies is less frequent, posing diagnostic challenges.
Observation:
- A 71-year-old male presented with acute heart failure.
- Coronary angiography revealed a rare anomaly: double circumflex coronary arteries with mid-portion stenosis.
- These anomalous arteries originated from both the left and right sinuses of Valsalva.
Findings:
- The double circumflex coronary artery anomaly with significant stenosis was identified as the cause of heart failure.
- Percutaneous coronary intervention was performed to address the stenotic lesions.
Implications:
- This case highlights the importance of considering rare coronary anomalies in patients with unexplained heart failure.
- Successful percutaneous coronary intervention demonstrates a viable treatment option for this uncommon condition.
- Further research into the clinical significance and management of complex coronary artery anomalies is warranted.
Abstract:
Although coronary artery anomalies may cause some clinical symptoms, most are incidentally discovered as benign findings on coronary angiograms. A circumflex coronary artery anomalously originating from the right sinus of Valsalva is the most common coronary anomaly. However, a double circumflex coronary artery, both stenotic in their mid portions, resulting in symptomatic heart failure is a rare clinical and angiographic condition. In this case, we present a 71-year-old male patient admitted to our clinic with the diagnosis of acute heart failure. Angiography revealed stenotic double circumflex arteries, arising from the left and right sinus of Valsalva, and the patient was treated by percutaneous coronary intervention.
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