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ISSN 0188-2198 (Print)

2018, Number 4

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Rev Mex Cardiol 2018; 29 (4)

Acute coronary syndrome associated with anomalous origin of circumflex artery. Case report and literature review

Reyes-Nava DA, Hernández-Mercado MA, Reyes-Corona JA, Morales-Bernal NE

Language: English
References: 6
Page: 168-172
PDF size: 309.39 Kb.


ABSTRACT

We present a case of an acute coronary ischemic syndrome associated with anomalous origin of the circumflex artery, with a right coronary sinus origin independent of the right coronary artery, which has a prevalence of 0.1 to 8.4%. This type of anomaly is classifi ed according to the international guidelines as low-risk, however, at high risk of presenting atheroma, coronary complications, and acute coronary ischemic syndrome due to its occasionally intraarterial pathway. The treatment depends on the complexity of the coronary anatomy. In this case with the presence of total obstruction the correct therapy was to perform a percutaneous coronary angioplasty with drug-eluting stent (DES) placement, which improves the survival and is therapeutic at the acute phase, as in the case of this patient.


REFERENCES

  1. Barriales-Villa R, Morís C. Anomalías congénitas de las arterias coronarias con origen en el seno de Valsalva contralateral: ¿qué actitud se debe seguir? Rev Esp Cardiol. 2006; 59 (4): 360-370.

  2. Lorber R, Srivastava S, Wilder TJ. Anomalous aortic origin of coronary arteries in the young echocardiographic evaluation with surgical correlation. JACC: Cardiovasc Imaging. 2015; 8 (11): 1239-1349.

  3. Angelini P. Coronary artery anomalies an entity in search of an identity. Circulation. 2007; 115: 1296-1305.

  4. Cheezum MK, Liberthson RR, Shah NR. Anomalous aortic origin of a coronary artery from the inappropriate sinus of Valsalva. J Am Coll Cardiol. 2017; 69 (12): 1592-1608.

  5. Pérez JM, De la Pompa JL. Congenital coronary artery anomalies: a bridge from embryology to anatomy and pathophysiology-a position statement of the development, anatomy, and pathology ESC Working Group. Cardiovasc Res. 2016; 109 (2): 204-16.

  6. Asciutto S, La Franca E, Cirrincione G, Caruso M. Anomalous origin of all three coronary arteries from right sinus of Valsalva. Indian Heart J. 2016; 68 (Suppl 2): S85-S87.




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