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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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Intra-Atrial Right Coronary Artery and Anomalous Origin of Left Circumflex Artery Found Concurrently

Peter C Olson1, Michael Cinelli2, Hamfreth S Rahming3

  • 1Cardiovascular Imaging Program, Yale School of Medicine, New Haven, CT, USA.

Journal of Medical Cases
|November 21, 2022
PubMed

Insights

Coronary artery anomalies (CAAs) are rare anatomical variations. This case highlights a young patient with two concurrent CAAs found via coronary computed tomography angiography (CCTA), emphasizing diagnostic challenges.

Area of Science:

  • Cardiology
  • Radiology
  • Anatomy

Background:

  • Coronary artery anomalies (CAAs) represent diverse structural variations in coronary artery origin and course.
  • These anomalies pose diagnostic and interventional challenges for cardiologists and surgeons.
  • Accurate identification is crucial for risk stratification and management.

Observation:

  • A young patient presented to the emergency room with chest pain.
  • Coronary computed tomography angiography (CCTA) revealed two concurrent coronary artery anomalies.
  • The patient was managed conservatively due to low cardiovascular risk.

Findings:

  • The case underscores the complexity of diagnosing multiple CAAs.
  • Literature review on CAA prevalence and high-risk features is presented.
  • Challenges faced by cardiologists during angiography for CAAs are highlighted.

Implications:

  • Further research into pharmacological, angiographic, and surgical interventions for CAAs is warranted.
  • This case provides guidance for evaluating and managing patients with similar findings.
  • Improved understanding can enhance patient care and practitioner confidence in managing CAAs.

Keywords:
Chest painCongenitalCoronary angiographyCoronary artery anomaliesCoronary artery disease

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