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Case Report
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Korean J Med. 2014;87(6):722-727. Published online December 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.6.722
- 실신을 동반한 우측 관상동맥굴에서 기인한 좌관상동맥의 기형의 1예
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한대희1, 고현철1, 홍정운1, 박기수1, 김경중1, 박경득2, 이상칠1
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1광명성애병원 내과
2성애병원 내과
- A Case of Anomalous Left Coronary Artery Originating from the Right Sinus of the Valsalva Presenting with Syncope
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Dae Hee Hahn1, Hyeon Cheol Koh1, Jung Un Hong1, Gi Soo Park1, Gyung Jung Kim1, Kyung Deuk Park2, Sang Chil Lee1
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1Department of Internal Medicine, Gwang-Myeong SungAe General Hospital, Gwangmyeong, Korea
2Department of Internal Medicine, SungAe General Hospital, Seoul, Korea
- Corresponding author: Sang Chil Lee ,Tel: +82-2-2680-7253, Fax: +82-2-2680-7748, Email: drlsc@naver.com
- Received: November 27, 2013; Revised: January 7, 2014 Accepted: March 28, 2014.
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- Abstract
- Congenital anomalies of the coronary artery are associated with various symptoms including syncope, myocardial ischemia, and sudden cardiac death. The abnormality depends on the adjacent structure and pathway of the coronary artery. Most patients with an anomalous left coronary artery that arises from a right coronary sinus of the valsalva have no symptoms and are usually diagnosed at autopsy. Therefore, their first symptom might present as sudden death, particularly when the left coronary arterial course is between the aorta and the pulmonary trunk. Symptomatic patients could be diagnosed early with an anomalous coronary artery, and the risk of fatal events could be decreased by surgical correction. Here, we report the case of 62-year-old male who experienced a first episode of syncope with an anomalous left coronary artery arising from the right sinus of the valsalva with a separate orifice from the right coronary artery. He is alive and in good health receiving medical treatment, and has had no medical events for over 2 years.
Keywords :Coronary vessel anomalies, Sinus of valsalva, Syncope
