Cor Vasa 2023, 65(1):133-136 | DOI: 10.33678/cor.2022.063

Anomalous origin of the left circumflex artery from right sinus of Valsalva: a rare case but with great clinical relevance

Cristina Poleggia, Davide Restellia, Alfredo Luongoa, Federica Cocuzzaa, Francesca Campanellaa, Mennili Sarab, Alessio Curròc, Antonino Recuperoa, Michele Scaranob
a BIOMORF Department, Section of Cardiology, University of Messina, Messina, Italy
b Cardiology Unit of Madonna del Soccorso Hospital, San Benedetto del Tronto, Italy
c Cardiac Intensive Care, IRCCS-Piemonte Hospital, Messina, Italy

Anomalous origin of coronary artery (CA) is rare and does not generally lead to myocardial infarction. We report a case of a 61-year-old man presented with paroxysmal supraventricular tachycardia and atypical chest pain. After arrhythmia subsided, ECG showed T wave abnormalities and transient cardiac enzymes were found to be elevated. Coronary angiography demostrated an anomalous origin of the left circumflex artery (LCx) from the right sinus of Valsalva but no obstructive atherosclerotic coronary lesions. The possible relation between the congenital coronary anomaly and the clinical manifestations of the patient is discussed.

Keywords: Computed tomography angiography, Coronary vessel anomalies, Myocardial ischemia

Received: May 22, 2022; Revised: May 22, 2022; Accepted: May 29, 2022; Published: March 1, 2023  Show citation

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Poleggi C, Restelli D, Luongo A, Cocuzza F, Campanella F, Sara M, et al.. Anomalous origin of the left circumflex artery from right sinus of Valsalva: a rare case but with great clinical relevance. Cor Vasa. 2023;65(1):133-136. doi: 10.33678/cor.2022.063.
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