Four Coronary Arteries Separately Originating from the Right Sinus of Valsalva

An 82-year-old woman was admitted to our hospital with heart failure. Coronary angiography revealed one anatomically normal right coronary artery and three left coronary arteries (LCA-1, LSA-2, and LSA-3) separately originating from the right sinus of Valsalva, comprising multiple atherosclerotic le...

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Autores principales: Hondo, Tatsuya, Mogami, Atsuo, Miyauchi, Shunsuke, Okamura, Sho, Sakura, Takuo, Sada, Yoshiharu, Matsuda, Keiji, Eno, Shin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056376/
https://www.ncbi.nlm.nih.gov/pubmed/32062625
http://dx.doi.org/10.2169/internalmedicine.2992-19
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author Hondo, Tatsuya
Mogami, Atsuo
Miyauchi, Shunsuke
Okamura, Sho
Sakura, Takuo
Sada, Yoshiharu
Matsuda, Keiji
Eno, Shin
author_facet Hondo, Tatsuya
Mogami, Atsuo
Miyauchi, Shunsuke
Okamura, Sho
Sakura, Takuo
Sada, Yoshiharu
Matsuda, Keiji
Eno, Shin
author_sort Hondo, Tatsuya
collection PubMed
description An 82-year-old woman was admitted to our hospital with heart failure. Coronary angiography revealed one anatomically normal right coronary artery and three left coronary arteries (LCA-1, LSA-2, and LSA-3) separately originating from the right sinus of Valsalva, comprising multiple atherosclerotic lesions. LCA-1 became the obtuse marginal branch after branching off into the septal branches. LCA-2 was the main circumflex artery with an obstructive lesion. LCA-3 corresponded to the distal part of the anterior descending branch. The patient died 14 days after hospitalization. We describe the rarity of quadriostial origin, the unusual course, and the unusual branching of the coronary arteries.
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spelling pubmed-70563762020-03-05 Four Coronary Arteries Separately Originating from the Right Sinus of Valsalva Hondo, Tatsuya Mogami, Atsuo Miyauchi, Shunsuke Okamura, Sho Sakura, Takuo Sada, Yoshiharu Matsuda, Keiji Eno, Shin Intern Med Case Report An 82-year-old woman was admitted to our hospital with heart failure. Coronary angiography revealed one anatomically normal right coronary artery and three left coronary arteries (LCA-1, LSA-2, and LSA-3) separately originating from the right sinus of Valsalva, comprising multiple atherosclerotic lesions. LCA-1 became the obtuse marginal branch after branching off into the septal branches. LCA-2 was the main circumflex artery with an obstructive lesion. LCA-3 corresponded to the distal part of the anterior descending branch. The patient died 14 days after hospitalization. We describe the rarity of quadriostial origin, the unusual course, and the unusual branching of the coronary arteries. The Japanese Society of Internal Medicine 2020-02-15 2020-02-15 /pmc/articles/PMC7056376/ /pubmed/32062625 http://dx.doi.org/10.2169/internalmedicine.2992-19 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Hondo, Tatsuya
Mogami, Atsuo
Miyauchi, Shunsuke
Okamura, Sho
Sakura, Takuo
Sada, Yoshiharu
Matsuda, Keiji
Eno, Shin
Four Coronary Arteries Separately Originating from the Right Sinus of Valsalva
title Four Coronary Arteries Separately Originating from the Right Sinus of Valsalva
title_full Four Coronary Arteries Separately Originating from the Right Sinus of Valsalva
title_fullStr Four Coronary Arteries Separately Originating from the Right Sinus of Valsalva
title_full_unstemmed Four Coronary Arteries Separately Originating from the Right Sinus of Valsalva
title_short Four Coronary Arteries Separately Originating from the Right Sinus of Valsalva
title_sort four coronary arteries separately originating from the right sinus of valsalva
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056376/
https://www.ncbi.nlm.nih.gov/pubmed/32062625
http://dx.doi.org/10.2169/internalmedicine.2992-19
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