실신을 동반한 우측 관상동맥굴에서 기인한 좌관상동맥의 기형의

• Published in: The Korean journal of medicine Vol. 87; no. 6; pp. 722 - 727
• Main Authors: 한대희, Dae Hee Hahn, 고현철, Hyeon Cheol Koh, 홍정운, Jung Un Hong, 박기수, Gi Soo Park, 김경중, Gyung Jung Kim, 박경득, Kyung Deuk Park, 이상칠, Sang Chil Lee
• Format: Journal Article
• Language: Korean
• Published: 대한내과학회 31.12.2014
• Subjects: Coronary vessel anomalies; Sinus of valsalva; Syncope; 관상동기형; 관상동맥굴; 실신
• ISSN: 1738-9364

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. (Korean J Med 2014,87:722-727)