Origem anómala da artéria coronária circunflexa. A propósito de dois casos clínicos

Translated title of the contribution: Anomalous origin of the circumflex coronary artery - Two case reports

Vanda Carmelo, Júlia Toste, Susana Castela, Miguel Mota Carmo, Diogo Torres, Luís Pinto Dos Santos, Nuno Lousada, Manuela Adão, Teresa Ferreira

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

As shown in many series, congenital coronary artery anomalies are found in 0.6 to 1.5% of patients undergoing coronary angiography(1). Various types of coronary anomalies have been described, many involving the circumflex artery. The second most common anomaly is of the circumflex arising from the right sinus of Valsalva, while origin in the right coronary artery is also frequent(2). The most common anomaly is absence of the left main coronary artery, the anterior descending and circumflex arteries originating separately in the left coronary sinus(3). Such anomalies are usually benign, although earlier and more aggressive atherosclerosis is more likely than in normal coronaries(4) and myocardial ischemia can result. Although rare, this can manifest as sudden death(5,6). Conventional coronary angiography may be unable to determine the three-dimensional course of the anomalous vessel(7). The development of multislice computed tomography and its application to cardiac imaging mean that it is now possible to visualize the coronary arteries non-invasively and to obtain more accurate information on their proximal course(8). We present two cases of congenital anomaly of the circumflex coronary artery diagnosed with the aid of multislice computed tomography.

Original languagePortuguese
Pages (from-to)789-793
Number of pages5
JournalRevista Portuguesa de Cardiologia
Volume26
Issue number7-8
Publication statusPublished - 1 Jul 2007

Fingerprint

Coronary Vessels
Multidetector Computed Tomography
Coronary Angiography
Arteries
Sinus of Valsalva
Coronary Sinus
Sudden Death
Myocardial Ischemia
Atherosclerosis

Keywords

  • Congenital coronary artery anomalies
  • Multislice computed tomography

Cite this

Carmelo, V., Toste, J., Castela, S., Carmo, M. M., Torres, D., Dos Santos, L. P., ... Ferreira, T. (2007). Origem anómala da artéria coronária circunflexa. A propósito de dois casos clínicos. Revista Portuguesa de Cardiologia, 26(7-8), 789-793.
Carmelo, Vanda ; Toste, Júlia ; Castela, Susana ; Carmo, Miguel Mota ; Torres, Diogo ; Dos Santos, Luís Pinto ; Lousada, Nuno ; Adão, Manuela ; Ferreira, Teresa. / Origem anómala da artéria coronária circunflexa. A propósito de dois casos clínicos. In: Revista Portuguesa de Cardiologia. 2007 ; Vol. 26, No. 7-8. pp. 789-793.
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abstract = "As shown in many series, congenital coronary artery anomalies are found in 0.6 to 1.5{\%} of patients undergoing coronary angiography(1). Various types of coronary anomalies have been described, many involving the circumflex artery. The second most common anomaly is of the circumflex arising from the right sinus of Valsalva, while origin in the right coronary artery is also frequent(2). The most common anomaly is absence of the left main coronary artery, the anterior descending and circumflex arteries originating separately in the left coronary sinus(3). Such anomalies are usually benign, although earlier and more aggressive atherosclerosis is more likely than in normal coronaries(4) and myocardial ischemia can result. Although rare, this can manifest as sudden death(5,6). Conventional coronary angiography may be unable to determine the three-dimensional course of the anomalous vessel(7). The development of multislice computed tomography and its application to cardiac imaging mean that it is now possible to visualize the coronary arteries non-invasively and to obtain more accurate information on their proximal course(8). We present two cases of congenital anomaly of the circumflex coronary artery diagnosed with the aid of multislice computed tomography.",
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Carmelo, V, Toste, J, Castela, S, Carmo, MM, Torres, D, Dos Santos, LP, Lousada, N, Adão, M & Ferreira, T 2007, 'Origem anómala da artéria coronária circunflexa. A propósito de dois casos clínicos', Revista Portuguesa de Cardiologia, vol. 26, no. 7-8, pp. 789-793.

Origem anómala da artéria coronária circunflexa. A propósito de dois casos clínicos. / Carmelo, Vanda; Toste, Júlia; Castela, Susana; Carmo, Miguel Mota; Torres, Diogo; Dos Santos, Luís Pinto; Lousada, Nuno; Adão, Manuela; Ferreira, Teresa.

In: Revista Portuguesa de Cardiologia, Vol. 26, No. 7-8, 01.07.2007, p. 789-793.

Research output: Contribution to journalArticle

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AU - Carmelo, Vanda

AU - Toste, Júlia

AU - Castela, Susana

AU - Carmo, Miguel Mota

AU - Torres, Diogo

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AU - Adão, Manuela

AU - Ferreira, Teresa

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N2 - As shown in many series, congenital coronary artery anomalies are found in 0.6 to 1.5% of patients undergoing coronary angiography(1). Various types of coronary anomalies have been described, many involving the circumflex artery. The second most common anomaly is of the circumflex arising from the right sinus of Valsalva, while origin in the right coronary artery is also frequent(2). The most common anomaly is absence of the left main coronary artery, the anterior descending and circumflex arteries originating separately in the left coronary sinus(3). Such anomalies are usually benign, although earlier and more aggressive atherosclerosis is more likely than in normal coronaries(4) and myocardial ischemia can result. Although rare, this can manifest as sudden death(5,6). Conventional coronary angiography may be unable to determine the three-dimensional course of the anomalous vessel(7). The development of multislice computed tomography and its application to cardiac imaging mean that it is now possible to visualize the coronary arteries non-invasively and to obtain more accurate information on their proximal course(8). We present two cases of congenital anomaly of the circumflex coronary artery diagnosed with the aid of multislice computed tomography.

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Carmelo V, Toste J, Castela S, Carmo MM, Torres D, Dos Santos LP et al. Origem anómala da artéria coronária circunflexa. A propósito de dois casos clínicos. Revista Portuguesa de Cardiologia. 2007 Jul 1;26(7-8):789-793.