[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.
Summary
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.
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