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KMID : 0368120000300121578
Korean Circulation Journal
2000 Volume.30 No. 12 p.1578 ~ p.1582
Sudden Death Associated with Anomalous Left Coronary Artery Origin from Right Sinus of Valsalva with Posterior Course
À¯¿¬Ç¥/Yun Pyo You
ÀÌ¿µ°æ/À±Çö¼ö/Á¤°æÅÂ/¹Ú¼øâ/Young Koung Lee/Hyun Su Yun/Kyoung Tae Jeong/Soon Chang Park
Abstract
The left coronary artery from the right sinus of Valsalva represents an incidence of 0.017% of angiographic series and 1.3% of total coronary anomalies of angiographic series. The anomalous left coronary artery arising from the right sinus of Valsalva
may take either a septal, anterior, interarterial or posterior course. Sudden death is thought to result from transient occlusion of anomalous left coronary artery, particulary when the anomalous artery passes between the aorta and the pulmonary trunk.
The left coronary artery from the right sinus of Valsalva with posterior course are thought to be benign anomalies, although rarely myocardial ischemia may occur. A 69-year old woman died suddenly at rest. Coronary angiography revealed that anomalous
left coronary artery origin from right sinus of Valsalva without any significant stenotic lesion, the anomalous left coronary artery passed posterior to the aorta. We report the patient with anomalous origined left coronary artery and its course
posterior to aorta associated with the sudden death.
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