The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Anomalous Left Coronary Artery Originating from the Right Sinus of the Valsalva Presenting with Syncope

실신을 동반한 우측 관상동맥굴에서 기인한 좌관상동맥의 기형의 1예

  • Hahn, Dae Hee (Department of Internal Medicine, Gwang-Myeong SungAe General Hospital) ;
  • Koh, Hyeon Cheol (Department of Internal Medicine, Gwang-Myeong SungAe General Hospital) ;
  • Hong, Jung Un (Department of Internal Medicine, Gwang-Myeong SungAe General Hospital) ;
  • Park, Gi Soo (Department of Internal Medicine, Gwang-Myeong SungAe General Hospital) ;
  • Kim, Gyung Jung (Department of Internal Medicine, Gwang-Myeong SungAe General Hospital) ;
  • Park, Kyung Deuk (Department of Internal Medicine, SungAe General Hospital) ;
  • Lee, Sang Chil (Department of Internal Medicine, Gwang-Myeong SungAe General Hospital)
  • Received : 2013.11.27
  • Accepted : 2014.03.28
  • Published : 2014.12.01
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Abstract

Congenital anomalies of the coronary artery are associated with various symptoms including syncope, myocardial ischemia, and sudden cardiac death. The abnormality depends on the adjacent structure and pathway of the coronary artery. Most patients with an anomalous left coronary artery that arises from a right coronary sinus of the valsalva have no symptoms and are usually diagnosed at autopsy. Therefore, their first symptom might present as sudden death, particularly when the left coronary arterial course is between the aorta and the pulmonary trunk. Symptomatic patients could be diagnosed early with an anomalous coronary artery, and the risk of fatal events could be decreased by surgical correction. Here, we report the case of 62-year-old male who experienced a first episode of syncope with an anomalous left coronary artery arising from the right sinus of the valsalva with a separate orifice from the right coronary artery. He is alive and in good health receiving medical treatment, and has had no medical events for over 2 years.

Keywords

References

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