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[A retroaortic anomalous left coronary artery]
R Barriales Villa1, C Morís de la Tassa, V Barriales Alvarez
1Servicio de Cardiología, Hospital Central de Asturias, Oviedo.
Revista Espanola De Cardiologia
|October 1, 1995
Summary
A rare congenital heart defect, anomalous left coronary artery from the right sinus of Valsalva, caused myocardial ischemia in a 67-year-old patient. Surgical intervention was recommended for this coronary artery anomaly.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Cardiac Surgery
Background:
- Angina pectoris and positive treadmill tests are common indicators of coronary artery disease.
- Congenital anomalies of the coronary arteries can present with ischemic symptoms.
Observation:
- A 67-year-old patient presented with angina pectoris and a positive treadmill test.
- Coronary arteriography revealed the left coronary artery originating from the right sinus of Valsalva with a retroaortic course.
Findings:
- No significant coronary artery disease was detected.
- The patient's myocardial ischemia was attributed to the anomalous origin of the left coronary artery.
Implications:
- Anomalous coronary artery origins should be considered in the differential diagnosis of myocardial ischemia, even without obstructive coronary artery disease.
- Surgical correction is a recommended treatment for symptomatic anomalous coronary artery origins.