Anomalous Origin of the Right Coronary Artery from the Left Main Coronary Artery in the Setting of Critical Bicuspid Aortic Valve Stenosis

Methodist Debakey Cardiovasc J. 2019 Jul-Sep;15(3):223-225. doi: 10.14797/mdcj-15-3-223.

Abstract

Anomalous origin of the right coronary artery (ARCA) is an extremely rare cardiac pathology. The coronary artery can potentially course between the aorta and the pulmonary artery, putting the patient at risk for sudden cardiac death. Even rarer is an ARCA that arises from the left main coronary artery (LMCA). To our knowledge, this is the first case where an ARCA arising entirely from the LMCA is associated with critical bicuspid aortic valve stenosis.

Keywords: anomalous coronary artery; aortic valve replacement; bicuspid aortic valve; severe aortic valve stenosis.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Aortic Valve / abnormalities*
  • Aortic Valve / diagnostic imaging
  • Aortic Valve / surgery
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / etiology*
  • Aortic Valve Stenosis / surgery
  • Bicuspid Aortic Valve Disease
  • Coronary Vessel Anomalies / complications*
  • Coronary Vessel Anomalies / diagnostic imaging
  • Heart Valve Diseases / complications*
  • Heart Valve Diseases / diagnostic imaging
  • Heart Valve Diseases / surgery
  • Heart Valve Prosthesis Implantation
  • Humans
  • Incidental Findings
  • Male
  • Middle Aged
  • Treatment Outcome