Skip to main content
Article
Anomalous Origin of The Coronary Arteries-Review Article.
Marshall Journal of Medicine
  • Abdelrahman M Aljadi, Marshall University Joan C. Edwards School of Medicine
  • Shaheed Elhamdani, Marshall University Joan C. Edwards School of Medicine
  • Majd Kanbour, Marshall University Joan C. Edwards School of Medicine
  • Mehiar El-Hamdani, Marshall University Joan C. Edwards School of Medicine
Author Credentials
Abdelrahman Aljadi MD, MSc, Majd Kanbour MD, Shaheed Elhamdani MS4, Mehiar El-Hamdani MD, FACC, FSCAI
DOI
http://dx.doi.org/10.18590/mjm.2017.vol3.iss3.9
Abstract

Anomalous origin of the coronary arteries is rare in clinical practice. Different anomalies have different clinical or symptomatic manifestations depending on the patient’s age. However, the majority of coronary artery origin anomalies are silent and are only discovered incidentally during Left Heart Catheterization (LHC). Acute Myocardial Infarction (MI) or even sudden death may occur in patients with an anomalous origin of the Left Main (LM) coronary artery from the right coronary cusp with a subsequent course between the aorta and the pulmonary artery. Therefore, recognition of anomalous origin of the coronary arteries is essential for clinical practice to further classify and properly manage patients with increased risk of Acute Coronary Syndrome (ACS). Furthermore, patients found to have an anomaly may be eligible for surgical correction.

Conflict(s) of Interest
N/A
References with DOI

1. Angelini P. Coronary artery anomalies: an entity in search of an identity. Circulation. 2007;115(10):1296-305.

2. Krasuski RA, Magyar D, Hart S, Kalahasti V, Lorber R, Hobbs R, et al. Long-term outcome and impact of surgery on adults with coronary arteries originating from the opposite coronary cusp. Circulation. 2011;123(2):154-62. https://doi.org/10.1161/circulationaha.109.921106

3. Serota H, Barth CW, 3rd, Seuc CA, Vandormael M, Aguirre F, Kern MJ. Rapid identification of the course of anomalous coronary arteries in adults: the "dot and eye" method. Am J Cardiol. 1990;65(13):891-8. https://doi.org/10.1016/0002-9149(90)91432-6

4. Brothers J, Gaynor JW, Paridon S, Lorber R, Jacobs M. Anomalous aortic origin of a coronary artery with an interarterial course: understanding current management strategies in children and young adults. Pediatr Cardiol. 2009;30(7):911-21. https://doi.org/10.1007/s00246-009-9461-y

5. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn. 1990;21(1):28-40. https://doi.org/10.1002/ccd.1810210110

6. Maron BJ, Carney KP, Lever HM, Lewis JF, Barac I, Casey SA, et al. Relationship of race to sudden cardiac death in competitive athletes with hypertrophic cardiomyopathy. J Am Coll Cardiol. 2003;41(6):974-80. https://doi.org/10.1016/s0735-1097(02)02976-5

7. Gersony WM. Management of anomalous coronary artery from the contralateral coronary sinus. J Am Coll Cardiol. 2007;50(21):2083-4.

8. Burck HC. [High and Funnel-Like Origin of the Coronary Arteries]. Beitr Pathol Anat. 1963;128:139-56.

9. Lorenz EC, Mookadam F, Mookadam M, Moustafa S, Zehr KJ. A systematic overview of anomalous coronary anatomy and an examination of the association with sudden cardiac death. Rev Cardiovasc Med. 2006;7(4):205-13.

10. Taylor AJ, Rogan KM, Virmani R. Sudden cardiac death associated with isolated congenital coronary artery anomalies. J Am Coll Cardiol. 1992;20(3):640-7. https://doi.org/10.1016/0735-1097(92)90019-j

11. Lerberg DB, Ogden JA, Zuberbuhler JR, Bahnson HT. Anomalous origin of the right coronary artery from the pulmonary artery. Ann Thorac Surg. 1979;27(1):87-94.

12. Liebman J, Hellerstein HK, Ankeney JL, Tucker A. The Problem of the Anomalous Left Coronary Artery Arising from the Pulmonary Artery in Older Children. Report of Three Cases. N Engl J Med. 1963;269:486-94. https://doi.org/10.1056/nejm196309052691002

13. Eckart RE, Scoville SL, Campbell CL, Shry EA, Stajduhar KC, Potter RN, et al. Sudden death in young adults: a 25-year review of autopsies in military recruits. Ann Intern Med. 2004;141(11):829-34. https://doi.org/10.7326/0003-4819-141-11-200412070-00005

14. Chaitman BR, Lesperance J, Saltiel J, Bourassa MG. Clinical, angiographic, and hemodynamic findings in patients with anomalous origin of the coronary arteries. Circulation. 1976;53(1):122-31. https://doi.org/10.1161/01.cir.53.1.122

15. Post JC, van Rossum AC, Bronzwaer JG, de Cock CC, Hofman MB, Valk J, et al. Magnetic resonance angiography of anomalous coronary arteries. A new gold standard for delineating the proximal course? Circulation. 1995;92(11):3163-71. https://doi.org/10.1161/01.cir.92.11.3163

16. Frommelt PC, Frommelt MA, Tweddell JS, Jaquiss RD. Prospective echocardiographic diagnosis and surgical repair of anomalous origin of a coronary artery from the opposite sinus with an interarterial course. J Am Coll Cardiol. 2003;42(1):148-54. https://doi.org/10.1016/s0735-1097(03)00503-5

17. Meng CC, Eckner FA, Lev M. Coronary Artery Distribution in Tetralogy of Fallot. Arch Surg. 1965;90:363-6. https://doi.org/10.1001/archsurg.1965.01320090041009

18. Dabizzi RP, Caprioli G, Aiazzi L, Castelli C, Baldrighi G, Parenzan L, et al. Distribution and anomalies of coronary arteries in tetralogy of fallot. Circulation. 1980;61(1):95-102. https://doi.org/10.1161/01.cir.61.1.95

19. Wernovsky G, Sanders SP. Coronary artery anatomy and transposition of the great arteries. Coron Artery Dis. 1993;4(2):148-57. https://doi.org/10.1097/00019501-199302000-00005

20. Shaher RM, Puddu GC. Coronary arterial anatomy in complete transposition of the great vessels. Am J Cardiol. 1966;17(3):355-61. https://doi.org/10.1016/0002-9149(66)90218-9

21. Shrivastava S, Edwards JE. Coronary arterial origin in persistent truncus arteriosus. Circulation. 1977;55(3):551-4. https://doi.org/10.1161/01.cir.55.3.551

22. Romp RL, Herlong JR, Landolfo CK, Sanders SP, Miller CE, Ungerleider RM, et al. Outcome of unroofing procedure for repair of anomalous aortic origin of left or right coronary artery. Ann Thorac Surg. 2003;76(2):589-95; discussion 95-6. https://doi.org/10.1016/s0003-4975(03)00436-3

23. Doorey AJ, Pasquale MJ, Lally JF, Mintz GS, Marshall E, Ramos DA. Six-month success of intracoronary stenting for anomalous coronary arteries associated with myocardial ischemia. Am J Cardiol. 2000;86(5):580-2, A10. https://doi.org/10.1016/s0002-9149(00)01023-7

Citation Information
Abdelrahman M Aljadi, Shaheed Elhamdani, Majd Kanbour and Mehiar El-Hamdani. "Anomalous Origin of The Coronary Arteries-Review Article." p. 44
Available at: http://works.bepress.com/drmehiar-el-hamdani/5/