A clinical case of the retroaortal course of the circumflex artery from the right coronary artery
https://doi.org/10.20538/1682-0363-2023-2-165-169
Abstract
An anomalous course of coronary arteries is fairly rare pathology, which, however, may underlie clinical manifestations of coronary artery disease. Expanding the possibilities of diagnostic coronary angiography makes it possible to detect numerous types of congenital anomalies of the coronary arteries.
However, if earlier they were considered as angiographic findings and were characterized as benign, now this attitude has been changed due to reports of cases of syncope, angina pectoris, and sudden cardiac death associated with their presence. In this regard, a trend emerged to consider such anomalies as “potentially malignant”, which explains special caution at their detection. The article presents a clinical case of an anomalous retroaortic course of the circumflex artery from the right coronary artery.
About the Authors
E. A. Zakharyan
Medical Academy named after S.I. Georgievsky, Vernadsky Crimean Federal University
Russian Federation
Russian Federation
5/7, Lenina Av., Simferopol, 295006, Republic of Crimea
P. E. Grigoriev
Sevastopol State University
Russian Federation
Russian Federation
33, Universitetskaya Str., Sevastopol, 299053
D. V. Shatov
Medical Academy named after S.I. Georgievsky, Vernadsky Crimean Federal University
Russian Federation
Russian Federation
5/7, Lenina Av., Simferopol, 295006, Republic of Crimea
O. V. Soldatova
Medical Academy named after S.I. Georgievsky, Vernadsky Crimean Federal University
Russian Federation
Russian Federation
5/7, Lenina Av., Simferopol, 295006, Republic of Crimea
A. V. Fedorets
Medical Academy named after S.I. Georgievsky, Vernadsky Crimean Federal University
Russian Federation
Russian Federation
5/7, Lenina Av., Simferopol, 295006, Republic of Crimea
L. E. Kapitanova
Medical Academy named after S.I. Georgievsky, Vernadsky Crimean Federal University
Russian Federation
Russian Federation
5/7, Lenina Av., Simferopol, 295006, Republic of Crimea
References
1. Багманова З.А. Аномалии коронарных артерий. Кардиология. 2010;8:48–55.
2. Ghanim D., Kusniec F., Kinany W., Qarawani D., Meerkin D., Taha K. et al. Left circumflex coronary artery as the culprit vessel in st-segment-elevation myocardial infarction. Texas Heart Institute Journal. 2017;44(5):320–325. DOI: 10.14503/THIJ16-5905.
3. Lanjewar C.P., Kumar D., Sabnis G.R., Jare M., Phutane M., Shah H. et al. Anomalous origin of coronary artery from the opposite aortic sinus of Valsalva-a single center experience with a therapeutic conundrum. Indian Heart Journal. 2021;73(3):289–294. DOI: 10.1016/j.ihj.2021.03.012.
4. McCord C. Surgical treatment of coronary arteriosclerosis. JAMA. 1971;16(10):1650. DOI: 10.1001/jama.1971.03180360096030.
5. Seok O., Ju H.K., Min C.K., Young J.H., Youngkeun A., Myung H.J. Posterior myocardial infarction caused by superdominant circumflex occlusion over an absent right coronary artery: Case report and review of literature. MD Journal. 2021;100(27):e26604. DOI: 10.1097/MD.0000000000026604.
6. Yan G.W., Bhetuwal A., Yang G.Q., Fu Q.S., Hu N., Zhao L.W. et al. Congenital absence of the right coronary artery: A case report and literature review. Medicine (Baltimore). 2018;97(12):e0187. DOI: 10.1097/MD.0000000000010187.
7. Tomanek R., Angelini P. Embryology of coronary arteries and anatomy/pathophysiology of coronary anomalies. A comprehensive Update. International Journal of Cardiology. 2019;281:28–34. DOI: 10.1016/j.ijcard.2018.11.135.
8. Harky A., Hof A., Ahmad M.U., Uppal R. Incidental finding of anomalous circumflex coronary artery from right coronary sinus prior to aortic valve surgery. BMJ Case Reports. 2017;2017:bcr2017219265. DOI: 10.1136/bcr-2017-219265.
9. Rosseel L., Bonnier H., Sonck J. Anomalous right coronary artery in a middle-aged patient: a case report and review of the literature. Medicine (Baltimore). 2016;95(49):e5508. DOI: 10.1097/MD.0000000000005508.
10. Botta L., Amodio C., Pagano V., Di Marco L., Leone A., Loforte A. et al. AVR in patients with anomalous course of the circumflex artery without prosthetic downsizing. Journal of Cardiac Surgery. 2020;35(11):125–3127. DOI: 10.1111/jocs.14927.
11. Gasparovic I., Artemiou P., Kiss M., Hulman M. Bentall operation in a patient with an anomalous left circumflex artery: case report and review. Journal of Saudi Heart Association. 2017;29(4):305–307. DOI: 10.1016/j.jsha.2017.03.003.
12. Tabachnick D., Obokhae B., Harrington K., Brown D.L. Assessing the risk of an anomalous circumflex artery using balloon aortic valvuloplasty prior to transcatheter aortic valve replacement. Catheter Cardiovascular Intervention. 2020;96(2):497–499. DOI: 10.1002/ccd.28695.
Review
For citations:
Zakharyan E.A., Grigoriev P.E., Shatov D.V., Soldatova O.V., Fedorets A.V., Kapitanova L.E. A clinical case of the retroaortal course of the circumflex artery from the right coronary artery. Bulletin of Siberian Medicine. 2023;22(2):165-169. https://doi.org/10.20538/1682-0363-2023-2-165-169
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