Coexistence of Single Coronary Artery Anomaly and Aortic Arch Anomaly
| Autor: | Yılmaz Ömür Otlu, Şıho Hidayet, Serkan Öner |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Aortic arch
medicine.medical_specialty medicine.diagnostic_test business.industry lcsh:R coronary artery anomaly lcsh:Medicine General Medicine Aorta arch medicine.anatomical_structure medicine.artery Internal medicine aortic arch anomaly Single coronary artery Ascending aorta medicine Cardiology cardiovascular system Angiocardiography cardiovascular diseases Anomaly (physics) Arch coronary angiography business Artery |
| Zdroj: | Journal of Clinical and Analytical Medicine, Vol 6, Iss 102 (2014) |
| ISSN: | 1309-2014 1309-0720 |
| Popis: | A 74-year-old male patient was admitted to our hospital for evaluation of recent onset atypical chest pain. His medical history included hypertension, dislipidemia and smoking. Physical examination was unremarkable. The resting electrocardiogram was demonstrated biphasic T waves on lateral derivations. Transthoracic echocardiography showed normal left and right ventricular dimensions and functions. Coronary angiography was planned for the patient. First, right transradial approach tried; but guidewire could not be advanced to ascendig aorta. Coronary angiography was performed through the right femoral artery. Multiple attempts to cannulate the left coronary ostium were unsuccessful. The right coronary artery cannulated from its normal ostium in the right sinus of Valsalva. After a very short common main stem, the artery divided into a right coronary artery, and separate left anterior descending artery and circumflex artery (Figure A). The coronary arteries were normal without any significant stenosis and any extrinsic compression. An aortic root injection confirmed the absence of left coronary ostium. Also, a retroesophageal right subclavian artery originating from the left aortic arch (arteria lusoria) was detected as the last branch of aortic arch on contrast enhanced computerized tomography (Figure B-C). The patient discharged with medical teraphy. |
| Databáze: | OpenAIRE |
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