American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2019, 7(10), 264-266
DOI: 10.12691/ajmcr-7-10-10
Open AccessCase Report

Congenital Absence of Left Main Coronary Artery with Anomalous Origin of Left Anterior Descending and Left Circumflex Arteries Presenting with Acute Non-ST Elevation Myocardial Infarction

Mohammed Al-Sadawi1, Muhammad Ihsan1, Arismendy Nunez Garcia1, Muhammad Dogar1, Jessica Celenza-Salvatore1 and Samy I. McFarlane1,

1Department of Internal Medicine, Division of Cardiology, State University of New York: Downstate Medical Center, Brooklyn, New York, United States-11203

Pub. Date: August 12, 2019

Cite this paper:
Mohammed Al-Sadawi, Muhammad Ihsan, Arismendy Nunez Garcia, Muhammad Dogar, Jessica Celenza-Salvatore and Samy I. McFarlane. Congenital Absence of Left Main Coronary Artery with Anomalous Origin of Left Anterior Descending and Left Circumflex Arteries Presenting with Acute Non-ST Elevation Myocardial Infarction. American Journal of Medical Case Reports. 2019; 7(10):264-266. doi: 10.12691/ajmcr-7-10-10

Abstract

Congenital coronary artery anomalies are rare disease entities, occur only in 0.3%-5.6% of the general population. These anomalies could lead to serious complications in some cases and is associated with associated with sudden death due to lethal arrhythmias and premature coronary artery disease. Diagnosis of these anomalies is generally made during angiography. In this report, we present a rare case of absent left main coronary artery and anomalous origins of left anterior descending artery and left circumflex artery from right sinus of Valsalva in a 62 year old man presented with non-ST elevation myocardial infarction (NSTEMI).

Keywords:
congenital absence of left main coronary artery anomalous origin of left anterior descending and left circumflex arteries acute non-st elevation myocardial infarction

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References:

[1]  Young PM, Gerber TC, Williamson EE, Julsrud PR, Herfkens RJ. Cardiac imaging: Part 2, normal, variant, and anomalous configurations of the coronary vasculature. AJR Am J Roentgenol. 2011; 197: 816-826.
 
[2]  Camarda J, Berger S. Coronary artery abnormalities and sudden cardiac death. Pediatr Cardiol. 2012 Mar; 33(3): 434-8.
 
[3]  Roger VL. Epidemiology of myocardial infarction. Med Clin North Am 2007; 91: 537-52.
 
[4]  Villa AD, Sammut E, Nair A, Rajani R, Bonamini R, Chiribiri A. Coronary artery anomalies overview: the normal and the abnormal. World J Radiol. 2016; 8: 537-555.
 
[5]  Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn. 1990 Sep; 21(1): 28-40.
 
[6]  Koroush K, Munish S, Amit T, Rubinder S., Gary C. Anomalous Left Main Coronary Artery Arising from the Right Sinus of Valsalva in a Young Man Presenting with Recurrent Syncope and Myocardial Infarction. Case Rep Cardiol. 2018 Jul 31; 2018: 9805061.