Anomalous Origin of the Left Circumflex Artery from the Right Sinus of Valsalva: Non-ST-segment Elevation Myocardial Infarction
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- Lee Oh Hyun
- Department of Cardiology, Inha University School of Medicine, Korea
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- Yoon Gwang Seok
- Department of Cardiology, Inha University School of Medicine, Korea
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- Choi Seong Huan
- Department of Cardiology, Inha University School of Medicine, Korea
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- Shim Hyun Ik
- Department of Cardiology, Inha University School of Medicine, Korea
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- Baek Yong-Soo
- Department of Cardiology, Inha University School of Medicine, Korea
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- Shin Sung-Hee
- Department of Cardiology, Inha University School of Medicine, Korea
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- Kim Dae-Hyeok
- Department of Cardiology, Inha University School of Medicine, Korea
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- Woo Seong-Ill
- Department of Cardiology, Inha University School of Medicine, Korea
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- Park Sang-Don
- Department of Cardiology, Inha University School of Medicine, Korea
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抄録
An anomalous origin of the left coronary artery from the right sinus of Valsalva (RSV) is rare. We herein report the case of an 80-year-old woman who presented to the emergency department with chest pain. Emergent coronary angiography was performed following a diagnosis of non-ST segment elevation myocardial infarction. A right coronary angiogram showed that the common trunk originating from the RSV branched into the left anterior descending and right coronary arteries. Although the initial angiogram failed to show the left circumflex artery (LCx), considered to be the culprit vessel, computed tomographic angiography demonstrated that the LCx was located immediately below the common trunk and exhibited a retroaortic course. We successfully treated the patient and obtained optimal angiography results.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 54 (9), 1053-1056, 2015
一般社団法人 日本内科学会