Document Detail

Congenital absence of the left circumflex coronary artery and an unusually dominant course of the right coronary artery.
MedLine Citation:
PMID:  20972518     Owner:  NLM     Status:  MEDLINE    
Congenital absence of the left circumflex artery (LCX) is a very rare congenital anomaly of the coronary circulation, and only a few cases have been reported in the literature. We report on a 55-year-old female with atypical chest pain. Routine coronary angiography showed a normal left anterior descending coronary artery (LAD), no LCX and a dominant right coronary artery (RCA), which continued beyond the crux, running the full course of the LCX and terminating in the left atrial branch. Neither aortography nor pulmonary angiography showed a separate ostium for the LCX. There were no atherosclerotic lesions in the coronary arteries, or ischaemia on stress myocardial perfusion imaging. Multidetector row computed tomography (MDCT) was performed to confirm the diagnosis.
M Baskurt; B Okcun; I M Caglar; A A Ozkan; M Ersanli; T Gurmen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular journal of Africa     Volume:  21     ISSN:  1995-1892     ISO Abbreviation:  Cardiovasc J Afr     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-10-25     Completed Date:  2011-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101313864     Medline TA:  Cardiovasc J Afr     Country:  South Africa    
Other Details:
Languages:  eng     Pagination:  286-8     Citation Subset:  IM    
Cardiology Department, Institute of Cardiology, Istanbul University, Istanbul.
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MeSH Terms
Angina Pectoris / etiology,  pathology*
Coronary Angiography / methods*
Coronary Vessel Anomalies / complications,  physiopathology,  radiography*
Middle Aged
Tomography, X-Ray Computed

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