Anomalous Right Coronary Artery Originating From Distal Left Circumflex Artery In A Patient With Acute Coronary Syndrome

Muslihittin Emre ERKUS; İbrahim Halil ALTIPARMAK; Zekeriya KAYA; Recep DEMIRBAG

Makale detayları

Anomalous Right Coronary Artery Originating From Distal Left Circumflex Artery In A Patient With Acute Coronary Syndrome

Yazarlar:

Muslihittin Emre ERKUS | İbrahim Halil ALTIPARMAK | Zekeriya KAYA | Recep DEMIRBAG

Yayıncı:

Harran University

Dergi:

Journal of Harran University Medical Faculty 2015 Vol.12 Issue 1, pp.173-174

Belge Tipi:

Makale

Yayın Tarihi:

4/2015

Belge Dili:

İngilizce

Document ID (Org No.):

2000467503

Sıklık:

Üç Yıllık

eISSN:

1309-4025

pISSN:

1304-9623

Özet:

 


A 79-year-old woman was admitted to emergency department with typical retrosternal chest pain. The
physical examination was normal. The twelve-lead electrocardiogram revealed sinus rhythm, QS pattern in
leads V1-V2 and negative T waves in leads V1-V6 and aVL (Figure 1). The laboratory assessment revealed
elevated creatinine phosphokinase isoenzyme (12 ng /ml) and troponin I (0.06 ng/ml) levels. Other
biochemistry values were within the normal limits. She was diagnosed as acute coronary syndrome and she
underwent early percutanous .intervention due to continuing cheat pain. We were not able to find out right
coronary artery (RCA) either on right coronary angiography or on aortography (Figure 2A). Left coronary
angiography revealed retrograde course of RCAoriginating from distal left circumflex artery (Figure 2B). A
single coronary artery is commonly associated with severe cardiac malformations, but in this case we are not
able to find other severe malformations. This case shows the rare isolated single coronary artery in a 79-yearold woman with acute coronary syndrome.

.

 


A 79-year-old woman was admitted to emergency department with typical retrosternal chest pain. The
physical examination was normal. The twelve-lead electrocardiogram revealed sinus rhythm, QS pattern in
leads V1-V2 and negative T waves in leads V1-V6 and aVL (Figure 1). The laboratory assessment revealed
elevated creatinine phosphokinase isoenzyme (12 ng /ml) and troponin I (0.06 ng/ml) levels. Other
biochemistry values were within the normal limits. She was diagnosed as acute coronary syndrome and she
underwent early percutanous .intervention due to continuing cheat pain. We were not able to find out right
coronary artery (RCA) either on right coronary angiography or on aortography (Figure 2A). Left coronary
angiography revealed retrograde course of RCAoriginating from distal left circumflex artery (Figure 2B). A
single coronary artery is commonly associated with severe cardiac malformations, but in this case we are not
able to find other severe malformations. This case shows the rare isolated single coronary artery in a 79-yearold woman with acute coronary syndrome.

.

Makale detayları

Anomalous Right Coronary Artery Originating From Distal Left Circumflex Artery In A Patient With Acute Coronary Syndrome

Yazarlar: Muslihittin Emre ERKUS | İbrahim Halil ALTIPARMAK | Zekeriya KAYA | Recep DEMIRBAG

Yayıncı: Harran University

Dergi: Journal of Harran University Medical Faculty 2015 Vol.12 Issue 1, pp.173-174

Belge Tipi: Makale

Yayın Tarihi: 4/2015

Belge Dili: İngilizce

Document ID (Org No.): 2000467503

Sıklık: Üç Yıllık

eISSN: 1309-4025

pISSN: 1304-9623

Sayı

Yazarlar:

Muslihittin Emre ERKUS | İbrahim Halil ALTIPARMAK | Zekeriya KAYA | Recep DEMIRBAG

Yayıncı:

Harran University

Dergi:

Journal of Harran University Medical Faculty 2015 Vol.12 Issue 1, pp.173-174

Belge Tipi:

Makale

Yayın Tarihi:

4/2015

Belge Dili:

İngilizce

Document ID (Org No.):

2000467503

Sıklık:

Üç Yıllık

eISSN:

1309-4025

pISSN:

1304-9623