American Journal of Medical Case Reports
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American Journal of Medical Case Reports. 2020, 8(5), 134-136
DOI: 10.12691/ajmcr-8-5-6
Open AccessCase Report

Absence of the Left Main Artery with Separate Ostia of the Left Anterior Descending Artery and Circumflex from the Left Sinus Valsalva: A Case Report

Jonathan Francois1, Pramod Theetha Kariyanna1, Amog Jayarangaiah2, Tobin Matthew1 and Isabel M McFarlane1,

1Division of Cardiovascular Medicine and Department of Medicine, State University of New York Health Sciences University- Downstate Medical Center, Health + Hospitals/Kings County, Brooklyn, N.Y., U.S.A-11203

2Trinity School of Medicine, 925 Woodstock Road, Roswell, GA 30075, U.S.A.

Pub. Date: March 19, 2020

Cite this paper:
Jonathan Francois, Pramod Theetha Kariyanna, Amog Jayarangaiah, Tobin Matthew and Isabel M McFarlane. Absence of the Left Main Artery with Separate Ostia of the Left Anterior Descending Artery and Circumflex from the Left Sinus Valsalva: A Case Report. American Journal of Medical Case Reports. 2020; 8(5):134-136. doi: 10.12691/ajmcr-8-5-6


Coronary artery anomalies are diagnosed in approximately 1% of patients who undergo coronary angiography (CAG). Several anomalies are life threatening but are generally asymptomatic and clinically insignificant. Nonetheless, proper recognition and adequate visualization is necessary for proper medical management, especially in patients undergoing percutaneous coronary intervention or cardiac surgery. In this report, a 73-year-old female was admitted for NSTEMI. Coronary angiography revealed a stenotic right coronary artery and separate ostium of the left circumflex artery and left anterior descending artery from the left Valsalva sinus. The patient was treated with percutaneous coronary intervention of the RCA lesion.

dual ostium absence of left main artery angina accelerated atherosclerosis coronary angiography

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