Related Experiment Video

Updated: Feb 18, 2026

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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RARE CO-EXISTENCE OF CORONARY ANOMALIES: ANOMALY OF ORIGIN AND DISTRIBUTION TOGETHER WITH ANOMALY OF INTRINSIC

Abraha Hailu, Diana Chin, Carmine Musto

    Ethiopian Medical Journal
    |November 18, 2017
    PubMed

    Insights

    A rare case of anomalous coronary arteries, including a left circumflex artery from the right sinus of Valsalva and a hyperdominant left anterior descending artery, was found in a patient with non ST-elevation myocardial infarction. Awareness of these coronary artery anomalies is crucial for accurate diagnosis during angiography.

    Area of Science:

    • Cardiology
    • Interventional Cardiology
    • Anatomical Variations

    Background:

    • Coronary artery anomalies are uncommon but can lead to significant cardiovascular events.
    • Non ST-elevation myocardial infarction (NSTEMI) necessitates thorough investigation of coronary anatomy.

    Observation:

    • A 63-year-old female presented with angina and NSTEMI.
    • Coronary arteriography revealed an anomalous origin of the left circumflex coronary artery from the right coronary sinus of Valsalva.
    • A hyperdominant left anterior descending artery was observed, supplying the posterior descending artery.

    Findings:

    • The patient exhibited a rare combination of coronary artery anomalies.
    • Ectopic origin of the left circumflex artery and a posterior descending artery arising from the left anterior descending artery were identified.

    Implications:

    • Accurate identification of coronary artery anomalies is vital for interventional cardiologists.
    • These anatomical variations can impact surgical and interventional strategies.
    • Increased vigilance during coronary angiography is recommended to detect such anomalies.

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