Document Detail


Retroaortic course of the anomalous left main coronary artery: is it a benign anomaly? A case report and review of literature.
MedLine Citation:
PMID:  16352177     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Left coronary artery sharing a common origin with the right coronary artery and taking a retroaortic course is a rare coronary anomaly. It has been considered a benign entity. CASE REPORT: We report a 19-year-old man who presented with chest pain. Cardiac enzymes were elevated suggesting myocardial ischaemia. Coronary angiography revealed single origin of the coronary artery in the right coronary sinus. The left main coronary artery followed a retroaortic course before bifurcating. The anomalous left coronary artery was dissected and reimplanted in the left coronary sinus. The patient made an uneventful recovery. One year later, he is well with no recurrence of symptoms. CONCLUSIONS: Surgery to restore the normal anatomic position of the left coronary ostium is advisable whenever this anomaly is discovered.
Authors:
Nand K Kejriwal; Jeremy Tan; Stephen P Gordon; Mark A J Newman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Heart, lung & circulation     Volume:  13     ISSN:  1443-9506     ISO Abbreviation:  Heart Lung Circ     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2005-12-14     Completed Date:  2006-01-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963739     Medline TA:  Heart Lung Circ     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  97-100     Citation Subset:  -    
Affiliation:
Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Nedlands, Perth, WA, Australia. nkkejriwal@hotmail.com
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