Congenital coronary artery anomaly simulating a ventricular septal defect. (November 2015)

• Record Type: Journal Article
• Authors: Azari, Ali; Moravvej, Zahra; Fazlinezhad, Afsoon; Bigdelu, Leila
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 23:Number 9(2015)
• Page Start: 1062
• Page End: 1064
• Publication Date: 2015-11
• Subjects: Aortic stenosis -- coronary vessel anomalies -- echocardiography -- transesophageal -- heart defects -- congenital -- sinus of valsalva; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492314531422
• Languages: English
• ISSNs: 0218-4923

Abstract

Anomalous origin of the circumflex artery of the right sinus of Valsalva is a rare finding which may be present with other cardiac malformations. A 19-year-old man presented with syncope. A transthoracic echocardiogram revealed discrete subaortic stenosis with a small defect just below the aortic valve, suggesting a ventricular septal defect. Transesophageal echocardiography showed anomalous origin of the circumflex artery from the right sinus of Valsalva. This was confirmed by coronary angiography. The patient underwent successful web resection without concomitant coronary surgery. Failure to demonstrate a coronary artery anomaly can be misleading for surgeons and perilous for patients.