Related Experiment Video

Updated: Sep 9, 2025

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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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

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The Coronary Crown: Anomalous Left Anterior Descending and Circumflex From the Right Coronary Sinus

Saurabh V Limaye1, Sriram Easwaran2, Milind S Phadke3

  • 1Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College, Mumbai, India.

JACC. Case Reports
|August 29, 2025
PubMed

Insights

Anomalous coronary artery origins, though rare, require advanced imaging for diagnosis. Multimodality imaging is key for safe and effective treatment of these complex coronary artery anomalies.

Area of Science:

  • Cardiology
  • Radiology
  • Interventional Cardiology

Background:

  • Coronary artery anomalies are uncommon but can lead to significant clinical events.
  • Early identification and characterization are crucial for patient management.

Observation:

  • A 50-year-old male presented with inferior myocardial infarction.
  • Coronary angiography revealed anomalous origins of the left anterior descending and left circumflex arteries from the right coronary sinus, with a totally occluded right coronary artery.
  • Multidetector computed tomography confirmed a benign prepulmonic and retroaortic course of the anomalous vessels.

Findings:

  • Successful thrombolysis was administered for the myocardial infarction.
  • Percutaneous coronary intervention with drug-eluting stents was performed on the right coronary artery and a ramus intermedius lesion.
  • The patient was discharged asymptomatic, underscoring successful revascularization.

Implications:

  • Multimodality imaging plays a vital role in precisely defining complex coronary anatomy.
  • Accurate anatomical delineation is essential for optimal risk stratification.
  • This approach guides safe and effective revascularization strategies in patients with coronary artery anomalies.
Abstract

Keywords:
anomalous course of coronary arteriescoronary artery anomaliescoronary crownmultimodality imaging

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