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DOI QR Code

Myocardial Ischemia Caused by Paroxysmal Supraventricular Tachycardia in a Patient with Anomalous Origin of Right Coronary Artery Arising from Left Sinus of Valsalva

  • Song, Sang Hee (Department of Internal Medicine, College of Medicine, CHA University, CHA Bundang Medical Center) ;
  • Suh, Seong Eun (Department of Internal Medicine, College of Medicine, CHA University, CHA Bundang Medical Center) ;
  • Jin, Sun Mi (Department of Internal Medicine, College of Medicine, CHA University, CHA Bundang Medical Center) ;
  • Moon, Jie Hye (Department of Internal Medicine, College of Medicine, CHA University, CHA Bundang Medical Center) ;
  • Cho, Yun Kyung (Cardiology Division, Department of Internal Medicine, College of Medicine, CHA University, Gangnam CHA Hospital) ;
  • Lim, Sang Wook (Cardiology Division, Department of Internal Medicine, College of Medicine, CHA University, CHA Bundang Medical Center)
  • 발행 : 2013.02.28

초록

Anomalous origin of a coronary artery is rare and does not generally lead to myocardial infarction and paroxysmal supraventricular tachycardia (PSVT). We report an uncommon case of anomalous origin of the right coronary artery (RCA) originating from the left sinus of Valsalva with PSVT and myocardial ischemia. A 58-year-old man presented with PSVT. After arrhythmia subsided, electrocardiogram showed ST and T wave abnormalities, and transient cardiac enzymes were found to be elevated. Coronary CT angiography confirmed that there was anomalous origin of the RCA originating from the left sinus of Valsalva and no intracoronary stenotic lesion. He was managed with conservative treatment, having no symptoms on clinical follow-up for 4 years.

키워드

참고문헌

  1. Kimbiris D, Iskandrian AS, Segal BL, Bemis CE. Anomalous aortic origin of coronary arteries. Circulation 1978;58:606-15. https://doi.org/10.1161/01.CIR.58.4.606
  2. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990; 21:28-40. https://doi.org/10.1002/ccd.1810210110
  3. Angelini P, Velasco JA, Flamm S. Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation 2002;105:2449-54. https://doi.org/10.1161/01.CIR.0000016175.49835.57
  4. Kim JS, Lee JM, Yoon HJ, et al. A case of coronary vessel anomaly of the left circumflex artery originating from the right coronary artery with variant angina. Korean Circ J 2004;34:711-4. https://doi.org/10.4070/kcj.2004.34.7.711
  5. Vincelj J, Todorovic N, Marusic P, Puksic S. Anomalous origin of the left coronary artery from the right sinus of Valsalva in a 62-year-old woman with unstable angina pectoris: a case report. Int J Cardiol 2010;142: e35-7. https://doi.org/10.1016/j.ijcard.2008.11.182
  6. Basso C, Maron BJ, Corrado D, Thiene G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol 2000;35:1493-501. https://doi.org/10.1016/S0735-1097(00)00566-0
  7. Dogan SM, Gursurer M, Aydin M, Gocer H, Cabuk M, Dursun A. Myocardial ischemia caused by a coronary anomaly left anterior descending coronary artery arising from right sinus of Valsalva. Int J Cardiol 2006; 112:e57-9. https://doi.org/10.1016/j.ijcard.2006.03.063
  8. Lee BY. Anomalous right coronary artery from the left coronary sinus with an interarterial course: is it really dangerous? Korean Circ J 2009; 39:175-9. https://doi.org/10.4070/kcj.2009.39.5.175
  9. Park CS, Kim W, Hong SB, Hwang SH, Kim W, An BH. Anomalous origin of the right coronary artery from the main pulmonary artery presenting as angina pectoris in an adult. Korean Circ J 2008;38:627-9. https://doi.org/10.4070/kcj.2008.38.11.627
  10. Tariq R, Kureshi SB, Siddiqui UT, Ahmed R. Congenital anomalies of coronary arteries: diagnosis with 64 slice multidetector CT. Eur J Radiol 2012;81:1790-7. https://doi.org/10.1016/j.ejrad.2011.05.034
  11. Earls JP. Coronary artery anomalies. Tech Vasc Interv Radiol 2006;9: 210-7. https://doi.org/10.1053/j.tvir.2007.03.007
  12. Mirchandani S, Phoon CK. Management of anomalous coronary arteries from the contralateral sinus. Int J Cardiol 2005;102:383-9. https://doi.org/10.1016/j.ijcard.2004.10.010
  13. Reul RM, Cooley DA, Hallman GL, Reul GJ. Surgical treatment of coronary artery anomalies: report of a 37 1/2-year experience at the Texas Heart Institute. Tex Heart Inst J 2002;29:299-307.
  14. Turer AT, Addo TA, Martin JL, et al. Myocardial ischemia induced by rapid atrial pacing causes troponin T release detectable by a highly sensitive assay: insights from a coronary sinus sampling study. J Am Coll Cardiol 2011;57:2398-405. https://doi.org/10.1016/j.jacc.2010.11.066

피인용 문헌

  1. An isolated single L-II type coronary artery anomaly: A rare coronary anomaly vol.4, pp.4, 2013, https://doi.org/10.5582/irdr.2015.01025