|
KMID : 0390620070150030094
|
|
Journal of Cardiovascular Ultrasound
2007 Volume.15 No. 3 p.94 ~ p.97
|
|
|
A Case of Anomalous Origin of the Left Coronary Artery from the Right Coronary Sinus in a 15-year-old Boy Suffered from Exertional Syncope
|
|
Choi Jun-Ho
Kim Seung-Hwan
Kim Yong-Chul
Park Eun-Mi
Rhee Sang-Jae
Yun Kyeong-Ho
Kim Nam-Ho
Oh Seok-Kyu
Choi Jong-Bum
Jeong Jin-Won
|
|
|
Abstract
|
|
|
We report a case of an anomalous origin of the left coronary artery from the right aortic sinus in young boy with exertional
syncope. A 15-year-old boy was admitted to the hospital because of severe retrosternal chest pain followed by syncope
during exertion. He had a similar history of syncope during exercise previously. On site transthoracic echocardiography
showed that abnormal color mosaics course between aorta and pulmonary artery, suggesting the anomalous left coronary
artery originated from the right aortic sinus, and the definite diagnosis was made by multidetector computed tomography
(MDCT) thereafter. Coronary angiography showed anomalous origin of the left main coronary artery (LMCA) from the
right coronary sinus. The right coronary artery was normal. Mid portion of the LMCA was angulated and narrowed
significantly. Surgical correction of the left coronary artery by reimplantation of the ostium to the left aortic sinus and
augmentation of the ostium using oval vein patch was performed successfully.
|
|
|
KEYWORD
|
|
|
Anomalous origin of coronary artery, Echocardiography, Syncope, Multidetector computed tomography, Coronary vessel anomaly.
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|