A case of an acute coronary syndrome associated with anomalous origin of the left main coronary artery, with a right coronary sinus origin

Berat Uğuz; Selma Tiryakioğlu; Ahmet Yıldırım; Alper Karakuş

doi:10.28982/josam.810808

Authors

Berat Uğuz Bursa City Hospital https://orcid.org/0000-0002-4834-5572
Selma Tiryakioğlu Bursa City Hospital https://orcid.org/0000-0003-3443-6593
Ahmet Yıldırım Bursa City Hospital https://orcid.org/0000-0001-6340-3884
Alper Karakuş Besni State Hospital https://orcid.org/0000-0002-9632-395X

DOI:

https://doi.org/10.28982/josam.810808

Keywords:

Congenital coronary anomaly, Left main coronary artery, Acute coronary syndrome

Abstract

We present a case whose left main coronary artery (LMCA) arose from the right sinus of Valsalva, which is a very rare congenital anomaly. In a 48-year-old male, coronary angiographic (CAG) examination revealed LMCA arising from the right sinus of Valsalva. Although this kind of anomaly has generally been accepted to have a benign course, it may cause sudden death. In this case report, we present a patient who was admitted to our clinic with Acute Coronary Syndrome (ACS) and was found to have LMCA originating from the right sinus of Valsalva in the CAG. A percutaneous coronary angioplasty was performed with stent placement in the critical stenosis in the left anterior descending (LAD) coronary artery.

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