Atherosclerotic Coronary Artery Disease in a Younger Adult With Transseptal Anomalous Left Coronary Artery
Eunwoo Park1, Payush Chatta1, Anas Alani2
1Division of Internal Medicine, Department of Medicine, Loma Linda University Medical Center, Loma Linda, California, USA.
JACC. Case Reports
|September 5, 2022
Insights
This case study highlights extensive coronary artery disease in a young patient with a rare anomalous left coronary artery. Multimodality imaging proved essential for identifying the culprit lesion in this unique presentation.
Area of Science:
- Cardiology
- Radiology
- Medical Imaging
Background:
- Coronary artery anomalies are rare but can lead to significant cardiovascular events.
- Extensive coronary atherosclerotic disease (CAD) typically affects older individuals.
- Anomalous left coronary artery with a transseptal course is an uncommon congenital variation.
Observation:
- A young patient presented with symptoms suggestive of acute coronary syndrome.
- The patient was diagnosed with extensive coronary atherosclerotic disease.
- A rare anomalous left coronary artery with a transseptal course was identified.
Findings:
- Multimodality imaging, including computed tomography angiography and invasive coronary angiography, was utilized.
- The imaging modalities successfully identified the culprit lesion responsible for the patient's symptoms.
- The combination of anomaly and severe atherosclerosis presented a diagnostic challenge.
Implications:
- This case underscores the importance of considering rare coronary artery anomalies in younger patients with CAD.
- Multimodality imaging is crucial for accurate diagnosis and management planning in complex coronary artery disease.
- Early identification of culprit lesions in anomalous coronary arteries can guide timely intervention and improve patient outcomes.
Abstract:
We present a case of extensive coronary atherosclerotic disease in a younger patient with an anomalous left coronary artery with transseptal course and show the utility of multimodality evaluation to determine the culprit lesion in patients presenting with this rare association. (Level of Difficulty: Intermediate.).
Keywords:
CCTA, cardiac computed tomography angiographyCMR, cardiac magnetic resonance imaginganomalous coronary arteryatherosclerotic coronary diseasecardiac computed tomographycardiac magnetic resonance imagingmultimodality imagingnon–ST-segment elevation myocardial infarctionMore Related Videos
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