[Anomalous origin of the left coronary artery from the opposite breast. Pathological case]
Jesús Salvador Valencia-Sánchez1, Alejandra Moreno-Vázquez, Belinda González-Díaz
1Dirección de Educación e Investigación en Salud, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, México. jsalvado_valencia@yahoo.com.mx.
Insights
Anomalous origin of the left coronary artery from the right coronary sinus (ACAOS) is a rare condition. Diagnosis relies on advanced imaging to identify coronary artery anomalies and guide treatment for acute coronary syndromes.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Medical Imaging
Background:
- Anomalous origin of the left coronary artery from the right coronary sinus (ACAOS) is a congenital heart defect.
- The left main coronary artery arises from the right aortic sinus and follows various paths to the left side of the heart.
Observation:
- A 73-year-old male presented with severe chest pain, diaphoresis, and nausea, indicative of an acute coronary ischemic syndrome.
- Despite thrombolytic therapy, the patient experienced complications and ultimately died.
Findings:
- Diagnosis of ACAOS is typically established using computed cardiac angiography or cardiac catheterization.
- These diagnostic methods reveal the morphological characteristics and anatomical variants of coronary arteries.
Implications:
- Accurate diagnosis of ACAOS is crucial for managing acute coronary ischemic syndromes.
- Understanding coronary artery anomalies aids in surgical planning and patient management.
Background:
Anomalous origin of the left coronary artery from right coronary sinus ACAOS is characterized because the left main coronary artery anomalously originates from the right sinus of valsalva aortic coronary and whose journey can follow four different paths to the left side of the heart.
Case Report:
A 73 years old men, who was admitted at the hospital for chest pain of oppressive type, intensity 10/10 with irradiation to left arm and neck, accompanied by diaphoresis and nausea. The diagnosis was an ischemic syndrome acute coronary undergo therapy thrombolytic, the evolution was not satisfactory due to different complications that led to the death.
Conclusions:
The diagnosis of anomalous coronary artery left the opposite breast origin (ACAOS), is established basically through methods of diagnostics as computed cardiac angiography or cardiac catheterization as part of the approach of an acute coronary ischemic syndrome that allow to establish the morphological characteristics of coronary as the different anatomic variants and their characteristics with respect to adjacent structures.
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