Abnormal Coronary Artery Origines and Sudden Death Main Left Coronary Artery Abnormal Origin with a Case
DOI:
https://doi.org/10.17986/blm.2008133681Keywords:
coronary artery anomaly, sudden cardiac death, autopsyAbstract
The deaths originating from cardiovascular diseases are the most important causes of sudden death (90%). According to the mortality statistics, 300.000-400.000 person dies because of sudden cardiac death every year in the United States. However, the atherosclerotic coronary diseases are the major cause of sudden cardiac death in the entire world at the adult ages, anatomic abnormalities of coronary arteries may cause sudden deaths in the young especially while training and has no medical cardiac history before. The abnormalities of coronary arteries which coronary passes through the aorta and pulmonary arteries and the single or both arteries originating from the right sinus have the highest risk of sudden death. In this study we present a 21 year old young man, died suddenly after training, who has no specific symptoms or diagnosis before. In the autopsy, left main coronary artery, abnormally originated from the right sinus and passes through the aorta and pulmonary arteries is founded. The anatomic and pathologic features of the high risk coronary artery anomalies are reviewed with the findings of the case.
Key words: Coronary artery anomaly, sudden cardiac death, autopsy
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Frescura C, Basso C, Thiene G, Corrado D, Penned- li T, Angelini A, Daliento L. Anomalous origin of coronary arteries and risk of sudden death: A study based on an autopsy population of congenital heart disease. Hum Pathol 1998;29:689-95. DOI: https://doi.org/10.1016/S0046-8177(98)90277-5
Frömmelt PC, Frömmelt MA, Tweddel JS, Jaquiss RDB. Prospective échocardiographie diagnosis and surgical repair of anomalous origin of a coronary artery from the opposite sinus ith an interatrial course. J Am Coll Cardiol 2003;42:148-54. DOI: https://doi.org/10.1016/S0735-1097(03)00503-5
Taylor AJ, Rogan KM, Virmani R. Sudden cardiac death associated with isolated congenital coronary artery anomalies. J Am Coll Cardiol 1992;20:640- 47. DOI: https://doi.org/10.1016/0735-1097(92)90019-J
Madea B, Dettmeyer R. Sudden death in cases with anomalous origin of the left coronary artery. Forensic Sei Int 1998;96:91-100. DOI: https://doi.org/10.1016/S0379-0738(98)00113-3
Basso C, Maron BJ, Corrado D, Thiene G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. J Am Coll Cardiol 2000;35:1493-1501. DOI: https://doi.org/10.1016/S0735-1097(00)00566-0
Romp RL, Herlong R, Landolfo CK, Sanders SP, Miller CE, Ungerlieder RMJaggers J. Outcome of unroofing procedure for repair of anomalous origin of left or right coronary artery. Ann Thorac Surg 2003;76:589-96. DOI: https://doi.org/10.1016/S0003-4975(03)00436-3
Barth CW III, Roberts WC. Left main coronary artery originating from the right sinus of Valsalva and coursing between the aorta and pulmonary trunk. J Am Coll Cardiol 1986;7:366. DOI: https://doi.org/10.1016/S0735-1097(86)80507-1
Roberts WC, Shirani J. The four subtypes of anomalous origin of the left main coronary artery from the right aortic sinus ( or from the right coronary artery). Am J Cardiol 1992;70:119-120. DOI: https://doi.org/10.1016/0002-9149(92)91406-T
Kejriwal NK, Tan J, Gordon SP, Newman MAJ. Retroaortic course of the anomalous left main coronary artery: Is it a benign anomaly? A case report and review of literature. Heart Lung and Circulation 2004;13:97-100. DOI: https://doi.org/10.1016/j.hlc.2004.01.013
Virmani R, Chun PKC, Goldstein RE, Robinowitz M, Me Alister HA. Acute take-offs of the coronary arteries along the aortic wall and congenital coronary ostial valve-like ridges: association with sudden death. J Am Coll Cardiol 1984;3:766-71. DOI: https://doi.org/10.1016/S0735-1097(84)80253-3
Blanco Pampin JM, Taboas AR. Unexpected sudden death resulting from anomalous origin of the left coronary artery from the right sinus of valsalva. Legal Med 2000;2:156-58. DOI: https://doi.org/10.1016/S1344-6223(00)80016-4
Akçay Turan A, Sol koroner arterin anormal orji- nin bir komplikasyonu olarak ani ölüm. Anadolu Kardiyoloji Dergisi 2005;5:329-30
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