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Separate origin of all three coronary arteries from a single sinus of Valsalva

Mansi Verma1, Niraj Nirmal Pandey1, Sanjeev Kumar1

  • 1Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India.

Journal of Cardiac Surgery
|March 16, 2022
PubMed

Insights

A rare coronary artery anomaly, with all three vessels originating from one sinus of Valsalva, was found in a child with double outlet right ventricle. CT angiography is crucial for detecting such coronary arterial anomalies in complex congenital heart disease.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Pediatric Cardiology

Background:

  • Double outlet right ventricle is a complex congenital heart defect.
  • Coronary artery anomalies can occur in conjunction with congenital heart diseases.
  • Accurate diagnosis is essential for appropriate management.

Observation:

  • A 6-year-old boy presented with double outlet right ventricle.
  • CT angiography revealed an incidental finding of independent origin for all three coronary arteries from a single sinus of Valsalva.
  • This anatomical variation is uncommon.

Findings:

  • The study identified a rare coronary arterial anomaly in a pediatric patient with a known congenital heart defect.
  • The anomaly involved the independent origin of the left main, left anterior descending, and right coronary arteries from a single coronary sinus.
  • CT angiography proved effective in visualizing this complex anatomy.

Implications:

  • This case underscores the importance of CT angiography in the comprehensive evaluation of congenital heart disease.
  • Identifying coronary anomalies can impact surgical planning and patient prognosis.
  • Further research into the prevalence and clinical significance of such anomalies is warranted.

Keywords:
computed tomography angiographycongenital heart diseasedouble outlet right ventriclemodified leiden convention

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