Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-26T23:55:57.575Z Has data issue: false hasContentIssue false
  • English
  • Français

Unusual intramural course in an anomalous left coronary artery from the opposite coronary sinus

Part of: Advanced Imaging

Published online by Cambridge University Press:  28 February 2022

Giuliano Giusti Open the ORCID record for Giuliano Giusti [Opens in a new window] ,
Mariantonia Villano  and
Marco Pozzi
Giuliano Giusti*
Affiliation:
Unit of Pediatric Cardiology, Gaslini Pediatric Hospital, Genoa, Italy
Mariantonia Villano
Affiliation:
Anesthesia and Intensive Care Unit, Department of Biomedical Sciences and Public Health, Università Politecnica Delle Marche, Ancona, Italy
Marco Pozzi
Affiliation:
Department of Paediatric and Congenital Cardiac Surgery and Cardiology, Ospedali Riuniti, Ancona, Italy
*
Author for correspondence: G. Giusti, MD, Unit of Paediatric Cardiology, Istituto Giannina Gaslini, Via Gerolamo Gaslini, 5, 16147, Genoa, Italy. Tel: +39-01056361. Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

We report a case of a patient with an anomalous left coronary artery originating from the opposite coronary sinus with evidence of intramural course at the level of the septal commissure and no slit-like deformation of the coronary ostium, acute take-off, or proximal vessel narrowing. According to previous publications, patients with anomalous coronary artery and intramural segments identified at surgery had coronary CT findings of acute take-off angle or proximal vessel narrowing; slit-like orifice; and elliptical cross-sectional shape. Although further investigation is required, we suggest that the intramural course may not be ruled out based on the absence of slit-like ostium, acute take-off, or proximal vessel narrowing.

Keywords

Anomalous aortic origin of a coronary arteryanomalous coronary arterycoronary CT scan
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 11 , November 2022 , pp. 1848 - 1850
Check for updates
Copyright
© The Author(s), 2022. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Harris, MA, Whitehead, KK, Shin, DC, Keller, MS, Weinberg, PM, Fogel, MA. Identifying abnormal ostial morphology in anomalous aortic origin of a coronary artery. Ann Thorac Surg 2015; 100: 174–179. DOI 10.1016/j.athoracsur.2015.02.031.CrossRefGoogle ScholarPubMed
Cheezum, MK, Liberthson, RR, Shah, NR, et al. Anomalous aortic origin of a coronary artery from the inappropriate sinus of Valsalva. J Am Coll Cardiol 2017; 69: 1592–1608. DOI 10.1016/j.jacc.2017.01.031.CrossRefGoogle ScholarPubMed
Cheezum, MK, Ghoshhajra, B, Bittencourt, MS, et al. Anomalous origin of the coronary artery arising from the opposite sinus: prevalence and outcomes in patients undergoing coronary CTA. Eur Heart J Cardiovasc Imaging 2017; 18: 224–235. DOI 10.1093/ehjci/jev323.CrossRefGoogle ScholarPubMed
Nasis, A, Machado, C, Cameron, JD, Troupis, JM, Meredith, IT, Seneviratne, SK. Anatomic characteristics and outcome of adults with coronary arteries arising from an anomalous location detected with coronary computed tomography angiography. Int J Cardiovasc Imaging 2015; 31: 181–191. DOI 10.1007/s10554-014-0535-4.CrossRefGoogle ScholarPubMed
Virmani, R, Chun, PKC, Goldstein, RE, Robinowitz, M, Mcallister, HA. Acute takeoffs of the coronary arteries along the aortic wall and congenital coronary ostial valve-like ridges: association with sudden death. J Am Coll Cardiol 1984; 3: 766–771. DOI 10.1016/S0735-1097(84)80253-3.CrossRefGoogle Scholar
Stout, KK, Daniels, CJ, Aboulhosn, JA, et al. 2018 AHA/ACC guideline for the management of adults with congenital heart disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation 2019; 139: e637–e697. DOI 10.1161/CIR.0000000000000602.Google Scholar
Miller, JA, Anavekar, NS, El Yaman, MM, Burkhart, HM, Miller, AJ, Julsrud, PR. Computed tomographic angiography identification of intramural segments in anomalous coronary arteries with interarterial course. Int J Cardiovasc Imaging 2012; 28: 1525–1532. DOI 10.1007/s10554-011-9936-9.CrossRefGoogle ScholarPubMed
Angelini, P, Uribe, C, Monge, J, Tobis, JM, Elayda, MA, Willerson, JT. Origin of the right coronary artery from the opposite sinus of Valsalva in adults: characterization by intravascular ultrasonography at baseline and after stent angioplasty. Catheter Cardiovasc Interv 2015; 86: 199–208. DOI 10.1002/ccd.26069.CrossRefGoogle ScholarPubMed
Mosca, RS, Phoon, CKL. Anomalous aortic origin of a coronary artery is not always a surgical disease. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2016; 19: 30–36. DOI 10.1053/j.pcsu.2015.12.006.CrossRefGoogle Scholar
Peñalver, JM, Mosca, RS, Weitz, D, Phoon, CKL. Anomalous aortic origin of coronary arteries from the opposite sinus: a critical appraisal of risk. BMC Cardiovasc Disord 2012; 12: 83. DOI 10.1186/1471-2261-12-83.CrossRefGoogle Scholar