Cargando…
Absence of Both Right and Left Main Coronary in a COVID Survivor
The prevalence of isolated right coronary artery (RCA) absence ranges from 0.014% to 0.066% in the general population, but its combination with an absent left main (dual ostium left anterior descending [LAD] and super-dominant left circumflex [LCx]) has not been previously described. We report the c...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8304712/ https://www.ncbi.nlm.nih.gov/pubmed/34359282 http://dx.doi.org/10.3390/diagnostics11071199 |
_version_ | 1783727401060007936 |
---|---|
author | Pop, Marian Pal, Krisztina Vaga, Diana |
author_facet | Pop, Marian Pal, Krisztina Vaga, Diana |
author_sort | Pop, Marian |
collection | PubMed |
description | The prevalence of isolated right coronary artery (RCA) absence ranges from 0.014% to 0.066% in the general population, but its combination with an absent left main (dual ostium left anterior descending [LAD] and super-dominant left circumflex [LCx]) has not been previously described. We report the case of a rare coronary artery anomaly: an absent RCA with LAD and LCx coronary arteries arising separately from the left coronary sinus. A 53-year-old male with recent COVID-19 infection was referred to our service for coronary computed tomography angiography (CCTA) due to the recent onset of atypical chest pain. The RCA was absent, with no vessel leaving the right or non-coronary sinus. The LAD and LCx emerged from the left coronary sinus, with a “double-barrel” appearance. The LAD was unremarkable, with small, non-stenosed calcified plaque. The LCx had a 3 mm diameter, arching downward in the left atrioventricular groove, passing through the crux cordis, continuing into the right atrioventricular groove, and ending as a left acute artery and sinonodal artery. No significant stenosis was found on any of the vessels, ruling out atherosclerotic coronary disease. |
format | Online Article Text |
id | pubmed-8304712 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-83047122021-07-25 Absence of Both Right and Left Main Coronary in a COVID Survivor Pop, Marian Pal, Krisztina Vaga, Diana Diagnostics (Basel) Interesting Images The prevalence of isolated right coronary artery (RCA) absence ranges from 0.014% to 0.066% in the general population, but its combination with an absent left main (dual ostium left anterior descending [LAD] and super-dominant left circumflex [LCx]) has not been previously described. We report the case of a rare coronary artery anomaly: an absent RCA with LAD and LCx coronary arteries arising separately from the left coronary sinus. A 53-year-old male with recent COVID-19 infection was referred to our service for coronary computed tomography angiography (CCTA) due to the recent onset of atypical chest pain. The RCA was absent, with no vessel leaving the right or non-coronary sinus. The LAD and LCx emerged from the left coronary sinus, with a “double-barrel” appearance. The LAD was unremarkable, with small, non-stenosed calcified plaque. The LCx had a 3 mm diameter, arching downward in the left atrioventricular groove, passing through the crux cordis, continuing into the right atrioventricular groove, and ending as a left acute artery and sinonodal artery. No significant stenosis was found on any of the vessels, ruling out atherosclerotic coronary disease. MDPI 2021-07-01 /pmc/articles/PMC8304712/ /pubmed/34359282 http://dx.doi.org/10.3390/diagnostics11071199 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Interesting Images Pop, Marian Pal, Krisztina Vaga, Diana Absence of Both Right and Left Main Coronary in a COVID Survivor |
title | Absence of Both Right and Left Main Coronary in a COVID Survivor |
title_full | Absence of Both Right and Left Main Coronary in a COVID Survivor |
title_fullStr | Absence of Both Right and Left Main Coronary in a COVID Survivor |
title_full_unstemmed | Absence of Both Right and Left Main Coronary in a COVID Survivor |
title_short | Absence of Both Right and Left Main Coronary in a COVID Survivor |
title_sort | absence of both right and left main coronary in a covid survivor |
topic | Interesting Images |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8304712/ https://www.ncbi.nlm.nih.gov/pubmed/34359282 http://dx.doi.org/10.3390/diagnostics11071199 |
work_keys_str_mv | AT popmarian absenceofbothrightandleftmaincoronaryinacovidsurvivor AT palkrisztina absenceofbothrightandleftmaincoronaryinacovidsurvivor AT vagadiana absenceofbothrightandleftmaincoronaryinacovidsurvivor |