Anomalous left main coronary artery arising from the right sinus of Valsalva in a patient presenting with exercise-induced angina and syncope [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2005; 33(5): 284-286

Anomalous left main coronary artery arising from the right sinus of Valsalva in a patient presenting with exercise-induced angina and syncope

İsmail Bıyık1, Oktay Ergene2
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A 68-year-old woman was admitted with complaints of palpitations and syncope of recent onset. She was suffering from exercise-induced angina for three years. Coronary angiography revealed no signs of atherosclerotic coronary artery disease, but an anomalous course of the left main coronary artery (LMCA) arising from the right sinus of Valsalva and passing between the pulmonary trunk and the ascending aorta. Ventriculography showed significant mitral regurgitation. Based on these findings, mitral valve replacement and prophylactic bypass surgery were recommended. Like in the presented case, prophylactic surgery may be considered in the presence of the interarterial course of the LMCA.

Keywords: Angina, unstable; aorta/abnormalities; arteries/ abnormalities; coronary vessel anomalies/diagnosis; sinus of Valsalva/abnormalities; syncope

How to cite this article
İsmail Bıyık, Oktay Ergene. Anomalous left main coronary artery arising from the right sinus of Valsalva in a patient presenting with exercise-induced angina and syncope. Turk Kardiyol Dern Ars. 2005; 33(5): 284-286
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