Anomalous origin of the right coronary artery from the left coronary sinus : case report

• Published in: Sultan Qaboos University medical journal Vol. 17; no. 3; pp. 352 - 354
• Main Authors: Alam al-Din, Tariq, al-Kindi, Adil Hashim, Sarfaraz, Dhiyab Khan, Sidqi, Muhammad Salman
• Format: Journal Article
• Language: English
• Published: Muscat, Oman Sultan Qaboos University, College of Medicine and Health Sciences 01.08.2017; Sultan Qaboos University; Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences
• Subjects: anatomic variation; Angina Pectoris - etiology; Cardiac arrhythmia; Case Report; Case reports; congenital abnormalities; Congenital diseases; coronary artery; coronary sinus; Coronary Sinus - abnormalities; Coronary Sinus - diagnostic imaging; Coronary Sinus - pathology; Coronary Sinus - surgery; Coronary Vessel Anomalies - diagnostic imaging; Coronary Vessel Anomalies - pathology; Coronary Vessel Anomalies - surgery; Coronary vessels; Hospitals; Humans; Male; Medical imaging; myocardial ischemia; Obesity, Morbid; Oman; Pain; Patients; Pulmonary arteries; Surgery; Tomography; Veins & arteries; Young Adult; Oman; Coronary Artery; Congenital Abnormalities; Anatomic Variation; Coronary Sinus; Myocardial Ischemia; Oman; Case Report
• ISSN: 2075-051X; 2075-0528
• DOI: 10.18295/squmj.2017.17.03.017

The anomalous origin of the right coronary artery from the left coronary sinus is a rare congenital disorder and can often result in sudden death upon initial presentation. We report a 19-year-old male patient who was referred to the Sultan Qaboos University Hospital, Muscat, Oman, in 2015 with multiple episodes of exertional angina. He was diagnosed as having an anomalous right coronary artery arising from the left coronary sinus following an intraoperative transesophageal echocardiogram. An unroofing ostioplasty of the anomalous right coronary artery was successful. Details of the surgical management of this anomaly are discussed.