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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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Aortic Origin Coronary Artery Anomalies: A Case Series

Akin Torun1, Sahhan Kilic1, Mehmet Seker1

  • 1Department of Cardiology, Sultan II. Abdulhamid Han Training and Research Hospital, Istanbul, TUR.

Cureus
|May 8, 2024
PubMed

Insights

Coronary artery anomalies (CAAs) are rare congenital heart conditions. This study highlights three unusual CAA cases, emphasizing the importance of their identification for accurate diagnosis and intervention in coronary artery disease patients.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Medical Imaging

Background:

  • Coronary artery anomalies (CAAs) are uncommon but can lead to severe complications and complicate coronary artery disease (CAD) management.
  • Increased use of coronary computed tomography and angiography reveals a higher incidence of CAAs than previously recognized.

Observation:

  • Three rare CAA cases are presented: a circumflex artery (CX) originating from the right ostium, an accessory CX from the right coronary artery (RCA) ostium, and an accessory left anterior descending artery (LAD) from the RCA ostium.
  • All anomalies involved unusual ostial origins despite normal anatomical positioning of the main coronary arteries.

Findings:

  • None of the presented cases exhibited high-risk features or led to patient symptoms during follow-up.
  • The identified anomalies were exceptional and potentially overlooked, underscoring the need for vigilance.

Implications:

  • Accurate identification of CAAs is crucial for effective CAD diagnosis and interventional procedures.
  • Awareness of these rare anatomical variations can improve patient care and prevent diagnostic or therapeutic delays.

Keywords:
anomalous aortic origincongenital heart diseasecoronary anomaliescoronary artery diseasecoronary intervention

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