Limits...
Strenuous exercise induced syncope due to coronary artery anomaly.

Yavuz V, Cetin N, Tuncer E, Dalgic O, Taskin U, Bilge AR, Tikiz H - Int Cardiovasc Res J (2014)

Bottom Line: Coronary artery anomalies are among the neglected topics in cardiology.Anomalous origin of the left main coronary artery from the right sinus of valsalva is a rare coronary anomaly observed in 0.15% of patients.Patients experiencing exercise induced syncope accompanied by symptoms of coronary ischemia (typically: chest pain, ischemic findings on ECG, and raised cardiac markers) should be referred to diagnostic coronary angiography.

View Article: PubMed Central - PubMed

Affiliation: Cardiology Department, Akhisar State Hospital, Manisa, Turkey.

ABSTRACT
Coronary artery anomalies are among the neglected topics in cardiology. Anomalous origin of the left main coronary artery from the right sinus of valsalva is a rare coronary anomaly observed in 0.15% of patients. During exercise, the distended aorta and pulmonary artery with increased blood flow may squeeze the Left Main Coronary Artery (LMCA) between them. Even though arrhythmias are common causes of syncope, one should also think about aberrant coronary artery in the patients with syncope of unexplained origin. Patients experiencing exercise induced syncope accompanied by symptoms of coronary ischemia (typically: chest pain, ischemic findings on ECG, and raised cardiac markers) should be referred to diagnostic coronary angiography.

No MeSH data available.


Related in: MedlinePlus

Multidetector Computed Tomography (MDCT); LMCA Coursed between the Aortic Root and Main Pulmonary Artery and Gave off the Left Anterior Descending and Left Circumflex Arteries in Their Normal Position. (a) Female Patient (Case 1), (b) Male Patient (Case 2)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4109038&req=5

fig11934: Multidetector Computed Tomography (MDCT); LMCA Coursed between the Aortic Root and Main Pulmonary Artery and Gave off the Left Anterior Descending and Left Circumflex Arteries in Their Normal Position. (a) Female Patient (Case 1), (b) Male Patient (Case 2)

Mentions: Both patients underwent cardiac multislice computed tomography to reveal the exact course and location of the aberrant coronary artery. The left main coronary artery was taking a path between the ascending aorta and pulmonary trunk before the emergence of LAD and Cx arteries (Figures 5a - 5b). After all, both patients were referred to cardiac surgery department.


Strenuous exercise induced syncope due to coronary artery anomaly.

Yavuz V, Cetin N, Tuncer E, Dalgic O, Taskin U, Bilge AR, Tikiz H - Int Cardiovasc Res J (2014)

Multidetector Computed Tomography (MDCT); LMCA Coursed between the Aortic Root and Main Pulmonary Artery and Gave off the Left Anterior Descending and Left Circumflex Arteries in Their Normal Position. (a) Female Patient (Case 1), (b) Male Patient (Case 2)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4109038&req=5

fig11934: Multidetector Computed Tomography (MDCT); LMCA Coursed between the Aortic Root and Main Pulmonary Artery and Gave off the Left Anterior Descending and Left Circumflex Arteries in Their Normal Position. (a) Female Patient (Case 1), (b) Male Patient (Case 2)
Mentions: Both patients underwent cardiac multislice computed tomography to reveal the exact course and location of the aberrant coronary artery. The left main coronary artery was taking a path between the ascending aorta and pulmonary trunk before the emergence of LAD and Cx arteries (Figures 5a - 5b). After all, both patients were referred to cardiac surgery department.

Bottom Line: Coronary artery anomalies are among the neglected topics in cardiology.Anomalous origin of the left main coronary artery from the right sinus of valsalva is a rare coronary anomaly observed in 0.15% of patients.Patients experiencing exercise induced syncope accompanied by symptoms of coronary ischemia (typically: chest pain, ischemic findings on ECG, and raised cardiac markers) should be referred to diagnostic coronary angiography.

View Article: PubMed Central - PubMed

Affiliation: Cardiology Department, Akhisar State Hospital, Manisa, Turkey.

ABSTRACT
Coronary artery anomalies are among the neglected topics in cardiology. Anomalous origin of the left main coronary artery from the right sinus of valsalva is a rare coronary anomaly observed in 0.15% of patients. During exercise, the distended aorta and pulmonary artery with increased blood flow may squeeze the Left Main Coronary Artery (LMCA) between them. Even though arrhythmias are common causes of syncope, one should also think about aberrant coronary artery in the patients with syncope of unexplained origin. Patients experiencing exercise induced syncope accompanied by symptoms of coronary ischemia (typically: chest pain, ischemic findings on ECG, and raised cardiac markers) should be referred to diagnostic coronary angiography.

No MeSH data available.


Related in: MedlinePlus