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A giant aneurysm of the left main coronary artery and anomalous origin of the right coronary artery.

Özkan H, Çetinkaya AS, Ertaş G - Kardiochir Torakochirurgia Pol (2015)

Bottom Line: We report a rare case of a giant aneurysm of the left main coronary artery (LMCA) and anomalous origin of the right coronary artery (RCA) from the left ventricle presented with chest pain.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Medicine Faculty, Bahçeşehir University, İstanbul, Turkey.

ABSTRACT
We report a rare case of a giant aneurysm of the left main coronary artery (LMCA) and anomalous origin of the right coronary artery (RCA) from the left ventricle presented with chest pain.

No MeSH data available.


Related in: MedlinePlus

Transthoracic echocardiography (A) and transesophageal echocardiography (B) demonstrated a giant left main coronary artery and anomalous origin of the right coronary artery (arrow)
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Figure 0001: Transthoracic echocardiography (A) and transesophageal echocardiography (B) demonstrated a giant left main coronary artery and anomalous origin of the right coronary artery (arrow)

Mentions: A 39-year-old woman presented with chest pain and palpitation. Cardiac examination revealed 3/6 midsystolic murmur and early diastolic murmur. All laboratory values were unremarkable. Transthoracic echocardiography revealed aortic stenosis with 26 mmHg mean gradient and diastolic flow near the aortic valve suggesting a coronary anomaly arising from the left ventricle (Fig. 1A). Transesophageal echocardiography demonstrated a giant left main coronary artery (LMCA) and anomalous origin of the right coronary artery (RCA) from the left ventricle (Fig. 1B). Multislice computed tomography (CT) indicated a giant left coronary artery aneurysm (Fig. 2). Coronary angiography was performed to show the coronary anatomy. The left coronary angiogram demonstrated a giant LMCA and a dilated proximal left anterior descending artery (LAD) and circumflex artery (Cx) with the tortuous collateral vessel to the RCA (Fig. 3). Surgery for the fistula and coronary artery aneurysm was planned but the patient refused the surgery.


A giant aneurysm of the left main coronary artery and anomalous origin of the right coronary artery.

Özkan H, Çetinkaya AS, Ertaş G - Kardiochir Torakochirurgia Pol (2015)

Transthoracic echocardiography (A) and transesophageal echocardiography (B) demonstrated a giant left main coronary artery and anomalous origin of the right coronary artery (arrow)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4520511&req=5

Figure 0001: Transthoracic echocardiography (A) and transesophageal echocardiography (B) demonstrated a giant left main coronary artery and anomalous origin of the right coronary artery (arrow)
Mentions: A 39-year-old woman presented with chest pain and palpitation. Cardiac examination revealed 3/6 midsystolic murmur and early diastolic murmur. All laboratory values were unremarkable. Transthoracic echocardiography revealed aortic stenosis with 26 mmHg mean gradient and diastolic flow near the aortic valve suggesting a coronary anomaly arising from the left ventricle (Fig. 1A). Transesophageal echocardiography demonstrated a giant left main coronary artery (LMCA) and anomalous origin of the right coronary artery (RCA) from the left ventricle (Fig. 1B). Multislice computed tomography (CT) indicated a giant left coronary artery aneurysm (Fig. 2). Coronary angiography was performed to show the coronary anatomy. The left coronary angiogram demonstrated a giant LMCA and a dilated proximal left anterior descending artery (LAD) and circumflex artery (Cx) with the tortuous collateral vessel to the RCA (Fig. 3). Surgery for the fistula and coronary artery aneurysm was planned but the patient refused the surgery.

Bottom Line: We report a rare case of a giant aneurysm of the left main coronary artery (LMCA) and anomalous origin of the right coronary artery (RCA) from the left ventricle presented with chest pain.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Medicine Faculty, Bahçeşehir University, İstanbul, Turkey.

ABSTRACT
We report a rare case of a giant aneurysm of the left main coronary artery (LMCA) and anomalous origin of the right coronary artery (RCA) from the left ventricle presented with chest pain.

No MeSH data available.


Related in: MedlinePlus