Produção Nacional
Revisado por pares
Anomalous Origin of Left Coronary Artery From the Left Ventricle
2009; Lippincott Williams & Wilkins; Volume: 2; Issue: 2 Linguagem: Inglês
10.1161/circinterventions.108.819227
ISSN1941-7632
AutoresEdmundo Clarindo Oliveira, Antonio Carlos Neves Pereira, Antônio Luiz Pinho Ribeiro, José Guilherme Carneiro, Maria Helena Albernaz Siqueira, Helder Paupério, Carlos Faria Santos Amaral,
Tópico(s)Vascular anomalies and interventions
ResumoHomeCirculation: Cardiovascular InterventionsVol. 2, No. 2Anomalous Origin of Left Coronary Artery From the Left Ventricle Free AccessResearch ArticlePDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissionsDownload Articles + Supplements ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toSupplementary MaterialsFree AccessResearch ArticlePDF/EPUBAnomalous Origin of Left Coronary Artery From the Left Ventricle Edmundo C. Oliveira, MD, Antonio Carlos Neves Pereira, MD, Antonio Luiz P. Ribeiro, MD, ScD, José Guilherme Carneiro, MD, Maria Helena Albernaz Siqueira, MD, Helder Paupério, MD and Carlos Faria Santos Amaral, MD, ScD Edmundo C. OliveiraEdmundo C. Oliveira From the Cardiology Service (E.C.O., A.L.P.R., J.G.C., H.P., C.F.S.A.), Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; and the Cardiology Service (E.C.O., A.C.N.P., J.G.C., M.H.A.S., H.P.), Hospital Mater Dei, Belo Horizonte, Minas Gerais, Brazil. , Antonio Carlos Neves PereiraAntonio Carlos Neves Pereira From the Cardiology Service (E.C.O., A.L.P.R., J.G.C., H.P., C.F.S.A.), Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; and the Cardiology Service (E.C.O., A.C.N.P., J.G.C., M.H.A.S., H.P.), Hospital Mater Dei, Belo Horizonte, Minas Gerais, Brazil. , Antonio Luiz P. RibeiroAntonio Luiz P. Ribeiro From the Cardiology Service (E.C.O., A.L.P.R., J.G.C., H.P., C.F.S.A.), Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; and the Cardiology Service (E.C.O., A.C.N.P., J.G.C., M.H.A.S., H.P.), Hospital Mater Dei, Belo Horizonte, Minas Gerais, Brazil. , José Guilherme CarneiroJosé Guilherme Carneiro From the Cardiology Service (E.C.O., A.L.P.R., J.G.C., H.P., C.F.S.A.), Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; and the Cardiology Service (E.C.O., A.C.N.P., J.G.C., M.H.A.S., H.P.), Hospital Mater Dei, Belo Horizonte, Minas Gerais, Brazil. , Maria Helena Albernaz SiqueiraMaria Helena Albernaz Siqueira From the Cardiology Service (E.C.O., A.L.P.R., J.G.C., H.P., C.F.S.A.), Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; and the Cardiology Service (E.C.O., A.C.N.P., J.G.C., M.H.A.S., H.P.), Hospital Mater Dei, Belo Horizonte, Minas Gerais, Brazil. , Helder PaupérioHelder Paupério From the Cardiology Service (E.C.O., A.L.P.R., J.G.C., H.P., C.F.S.A.), Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; and the Cardiology Service (E.C.O., A.C.N.P., J.G.C., M.H.A.S., H.P.), Hospital Mater Dei, Belo Horizonte, Minas Gerais, Brazil. and Carlos Faria Santos AmaralCarlos Faria Santos Amaral From the Cardiology Service (E.C.O., A.L.P.R., J.G.C., H.P., C.F.S.A.), Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; and the Cardiology Service (E.C.O., A.C.N.P., J.G.C., M.H.A.S., H.P.), Hospital Mater Dei, Belo Horizonte, Minas Gerais, Brazil. Originally published1 Apr 2009https://doi.org/10.1161/CIRCINTERVENTIONS.108.819227Circulation: Cardiovascular Interventions. 2009;2:147–148A 54-year-old asymptomatic woman (M.H.S.), was referred to the Hospital das Clínicas da Universidade Federal de Minas Gerais (HC/UFMG) cardiology service for routine cardiological evaluation in 2006. The physical examination and basal ECG were normal. Exercise stress testing showed unspecific ST segment alteration, and technetium scintigraphy was normal. One year later, repeat examination showed normal basal ECG, discrete displacement of ST segment by exercise stress testing, and transient ischemic alteration in apical area by technetium perfusion imaging. Injection in the right coronary showed dilation with collateral vessels to the left coronary artery and a hypoplastic left descendent artery (Figure 1, Video 1). The anomalous origin of the left coronary artery from the left ventricle could be seen by the flow from left coronary artery to left ventricle in diastole by angiography (Figure 2, Video 2) and by multislice computed tomography (Figure 3A). Coronariography and computed tomography showed absence of left coronary aorta ostia (Figure 3B). There was no evidence of coronary disease. Coronary artery ectopic origin from ventricular cavity is a very rare condition that may cause coronary insufficiency and sudden death.1,2 To our knowledge, this is the first reported case in which the left coronary artery origins from the left ventricle. Download figureDownload PowerPointFigure 1. Right coronary injection at right anterior oblique view of collaterals from the right coronary artery (RCA) to the left coronary artery (LCA), connected to the left ventricle (LV). The hypoplasic left artery descendent (LAD) is visible.Download figureDownload PowerPointFigure 2. Right coronary injection at left anterior oblique view of the right coronary artery (RCA) dilated with collateral to the left coronary artery (LCA), connected with the left ventricle (LV).Download figureDownload PowerPointFigure 3. Multislice computed tomography showing the left coronary artery (LCA) origin from the left ventricle (LV) (A) and the right coronary artery (RCA) origin from the aorta (B). The absence of left coronary connection with the aorta can be seen.The authors had full access to and take full responsibility for the integrity of the data. All authors have read and agree to the manuscript as written.The online-only Data Supplement is available at http://circinterventions.ahajournals.org/cgi/content/full/2/2/147/DC1.Sources of FundingDr Ribeiro was supported by research grants from Conselho Nacional de Desenvolvimento Científico e Tecnológico (No. 305395/2005-0) and Fundação de Amparo à Pesquisa do Estado de Minas Gerais (No. PPM-00328-08).DisclosuresNone.FootnotesCorrespondence to Edmundo C. Oliveira, MD, Rua Teodomiro Cruz 65/102, Novo São Lucas, 30240-530, Belo horizonte, MG, Brasil. E-mail [email protected]References1 Lauer B, Thiele H, Schuler G. A "new" coronary anomaly: origin of the right coronary artery below the aortic valve. Heart. 2001; 85: 486.CrossrefMedlineGoogle Scholar2 Land RN, Hamilton AY, Fuchs PC. Sudden death in a young athlete due to an anomalous commissural origin of the left coronary artery, and focal intimal proliferation of aortic valve leaflet at the adjacent commissure. Arch Pathol Lab Med. 1994; 118: 931–933.MedlineGoogle Scholar Previous Back to top Next FiguresReferencesRelatedDetailsCited By Wang T, Muniandy A, Gabriel R, van Pelt N, Harrison W and Voss J (2019) Anomalous Left Coronary Artery Originating From the Left Ventricular Outflow Tract, JACC: Cardiovascular Interventions, 10.1016/j.jcin.2019.08.021, 12:22, (e193-e196), Online publication date: 1-Nov-2019. Shriki J, Shinbane J, Rashid M, Hindoyan A, Withey J, DeFrance A, Cunningham M, Oliveira G, Warren B and Wilcox A (2012) Identifying, Characterizing, and Classifying Congenital Anomalies of the Coronary Arteries, RadioGraphics, 10.1148/rg.322115097, 32:2, (453-468), Online publication date: 1-Mar-2012. April 2009Vol 2, Issue 2 Advertisement Article InformationMetrics https://doi.org/10.1161/CIRCINTERVENTIONS.108.819227PMID: 20031708 Originally publishedApril 1, 2009 PDF download Advertisement SubjectsComputerized Tomography (CT)Imaging
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