Anomalous and Diseased Left Main Coronary Artery Arising fromthe RightCoronarySinus in an Elderly Lady
Salah E Altarabsheh1, Salil V Deo2, Abeer M Rababa'h3
1Division of Cardiovascular Surgery, Queen Alia Heart Institute, Amman, Jordan.
Insights
A 66-year-old woman with unstable angina and anomalous left main coronary artery underwent successful bypass surgery. This case highlights effective treatment for complex coronary artery disease involving unusual anatomy.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Diagnostic Imaging
Background:
- A 66-year-old female presented with unstable angina and New York Heart Association Class III symptoms.
- Echocardiography revealed anterior and inferior wall motion abnormalities.
- Coronary angiography identified severe disease in the right coronary artery and an anomalous left main coronary artery originating from the right sinus.
Abstract:
We report a case of 66-year-old female patient who presented with unstable angina and New York Heart Association Class III symptoms. Echocardiogram demonstrated wall motion abnormalities in the anterior and inferior walls. Coronary angiography demonstrated a severely diseased right coronary artery (RCA) and anomalous left main (LM) coronary artery arising from the right coronary sinus and courses posterior to the aorta and runs between the aorta and the main pulmonary artery with severe multiple atherosclerotic disease. Patient underwent successful coronary artery bypass grafting and was dismissed in good general status.
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