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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

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High Take Off Left Main and Abnormal Origin of Right Coronary Artery: A Case Report

Negar Salehi1, Seyfollah Abdi1, Hamid Reza Pouraliakba2

  • 1Department of Cardiology, Rajaei Heart center, Tehran University of medical sciences, Iran.

Cardiology Research
|March 30, 2017
PubMed

Insights

Congenital coronary artery anomalies, though rare, can complicate cardiac procedures. This case highlights challenges in coronary interventions due to high-takeoff coronary arteries, emphasizing their clinical significance.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Interventional Cardiology

Background:

  • Coronary artery anomalies are uncommon congenital conditions.
  • These anomalies typically follow a benign clinical course.
  • Stable angina prompted coronary angiography in a 54-year-old male.

Observation:

  • Catheterization proved difficult during the planned coronary angiography.
  • Computed tomography angiography (CTA) was performed for better visualization.
  • CTA revealed anomalous coronary arteries, specifically a high takeoff of the left main and right coronary arteries.

Findings:

  • The patient presented with stable angina and anatomical variations in coronary artery origins.
  • Diagnostic challenges arose during conventional coronary angiography due to the anomalous anatomy.
  • CT angiography successfully identified the high-origin left main and right coronary arteries.

Implications:

  • Anomalous coronary arteries necessitate careful pre-procedural planning.
  • Coronary interventions can be technically challenging in patients with coronary anomalies.
  • Recognition of these anomalies is crucial for successful and safe cardiac interventions.

Keywords:
Anomalous coronary arteryCABGHigh take offLeft main

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