Abnormal Origin of Coronary Artery from the Aorta: A Case Report

Authors

  • Wichaya Withurawanit Cardiothoracic Surgical Unit, Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok
  • Suvipaporn Siripornpitak Department of Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok
  • Ratanaporn Pornkul Department of Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok
  • Thanarat Layangool Department of Cardiology, Queen Sirikit National Institute of Child Health, Bangkok
  • Pirapat Mokarapong Institute of Cardiovascular Disease, Rajvithi Hospital, Ministry of Public Health, Bangkok

Abstract

We report the case of a 15-year-old boy with abnormal course of coronary artery. Both the right and left coronary ostia originated closely from the right coronary sinus and left main coronary artery was running intramurally between the aorta and the pulmonary artery trunks. The left anterior descending and circumflex arteries followed the normal courses. The slit-like left coronary ostium was unroofed and its intimal layer was marsupialized to the aorta. The patient had been healthy after surgery and could attend all activities as he wished at 3 months postoperatively.

References

1. Taylor AJ, Rogan KM, Virmani R. Sudden cardiac death associated with isolated congenital coronary artery anomalies (abstract). J Am Coll Cardiol 1992; 20: 640.

2. Barth CW III, Roberts WC. Left main coronary originating from the right sinus of Valsalva and coursing between the aorta and pulmonary trunk (abstract). J Am Coll Cardiol 1986;7:366.

3. Mahmood Z, Lukraz H, Penny WJ, O'Keefe P. Myocardial ischemia caused by an abnormal origin and course of the left coronary artery in an adult. Ann Thorac Surg 2005;80:2370-2

4. Moodie DS, Gill C, Loop FD. Anomalous left main coronary artery originating from the right sinus of Valsalva: pathophysiology, angiographic definition, and surgical approaches. J Thorac Cardiovasc Surg 1980; 80: 198

5. Rodefeld MD, Culberton CB, Rosenfeld HM, Hanley FL, Thompson LD, Pulmonary artery translocation: a surgical option of complex anomalous coronary artery anatomy. Ann Thorac Surg 2001; 72: 2150-2

6. Mustafal, Gula G, Radley SR, Durrer S, Yacoub M. Anomalous origin of the left coronary artery from the anterior aortic sinus: A potential cause of death. Anatomic characterization and surgical treatment. J Thorac Cardiovasc Surg 1981; 82: 297.

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Published

2006-12-28

How to Cite

1.
Withurawanit W, Siripornpitak S, Pornkul R, Layangool T, Mokarapong P. Abnormal Origin of Coronary Artery from the Aorta: A Case Report. Thai J Surg [Internet]. 2006 Dec. 28 [cited 2024 Nov. 26];27(4):145-8. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/241620

Issue

Vol. 27 No. 4 (2006): October - December

Section

Case Reports

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.