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[Single coronary artery and right aortic arch]

Efrén Martínez-Quintana1, Fayna Rodríguez-González2

  • 1Servicio de Cardiología, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, España.

Clinica E Investigacion En Arteriosclerosis : Publicacion Oficial De La Sociedad Espanola De Arteriosclerosis
|October 12, 2014
PubMed

Insights

This case report highlights two rare coronary anomalies: a single coronary artery from the right sinus of Valsalva and a right aortic arch. These anomalies, though often asymptomatic, are crucial for diagnosing cardiac events in patients.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Vascular Anatomy

Background:

  • Coronary artery anomalies are congenital variations in the origin or course of the coronary arteries.
  • Most coronary anomalies are asymptomatic and discovered incidentally.
  • However, they can be associated with significant cardiovascular events, including myocardial infarction and sudden cardiac death, particularly in younger individuals.

Observation:

  • The study presents a rare case of a 65-year-old patient with concurrent rare coronary anomalies: a single coronary artery originating from the right sinus of Valsalva and a right aortic arch.
  • The patient also had atherosclerotic coronary artery disease.

Findings:

  • The coexistence of a single coronary artery from the right sinus of Valsalva and a right aortic arch is exceedingly rare.
  • This combination of anomalies necessitates careful consideration in the differential diagnosis of various cardiac symptoms.

Implications:

  • Recognition of these rare anomalies is critical for accurate diagnosis and management of patients presenting with angina, dyspnea, syncope, or myocardial infarction.
  • This case underscores the importance of comprehensive cardiovascular assessment, especially when anatomical variations are suspected.
  • Understanding these anomalies aids in preventing misdiagnosis and ensuring appropriate treatment strategies for affected individuals.

Keywords:
Anomalías coronariasArco aórtico derechoArteria coronaria únicaCoronary vessel anomaliesRight aortic archSingle coronary artery

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