Unusual Association of Three Types of Congenital Coronary Artery Diseases

Marc-Antoine Isorni; Aude Amato; Julien Guihaire

doi:10.1016/j.cjca.2018.05.026

Unusual Association of Three Types of Congenital Coronary Artery Diseases

Can J Cardiol. 2018 Sep;34(9):1233.e5-1233.e8. doi: 10.1016/j.cjca.2018.05.026. Epub 2018 Jun 8.

Authors

Marc-Antoine Isorni¹, Aude Amato², Julien Guihaire³

Affiliations

¹ Cardiology Department, Marie Lannelongue Hospital, Le Plessis-Robinson, France. Electronic address: ma.isorni@hml.fr.
² Radiology Department, Marie Lannelongue Hospital, Le Plessis-Robinson, France.
³ Adult Cardiac Surgery Department, Marie Lannelongue Hospital, Le Plessis-Robinson, France.

PMID: 30170682
DOI: 10.1016/j.cjca.2018.05.026

Abstract

Congenital coronary artery disease (CAD) is commonly asymptomatic and often benign. Investigation of potential myocardial ischemia is also necessary. We report an original observation of abnormal origin and course of the right coronary artery (RCA), abnormal left main artery, and agenesis of the left anterior descending (LAD) artery. This is the first report of an association of 3 types of congenital coronary artery anomaly according to the modified Angelini's classification. This high-risk condition was successfully treated surgically.

Publication types

Case Reports

MeSH terms

Chest Pain / diagnosis*
Computed Tomography Angiography
Coronary Angiography
Coronary Artery Bypass / methods*
Coronary Artery Disease* / congenital
Coronary Artery Disease* / diagnosis
Coronary Artery Disease* / physiopathology
Coronary Vessel Anomalies* / physiopathology
Coronary Vessel Anomalies* / surgery
Coronary Vessels / diagnostic imaging
Coronary Vessels / surgery
Diagnosis, Differential
Echocardiography
Exercise Test / methods
Female
Humans
Magnetic Resonance Imaging, Cine / methods
Middle Aged
Myocardial Ischemia* / diagnosis
Myocardial Ischemia* / etiology
Myocardial Ischemia* / surgery
Treatment Outcome