Author/Authors :
Americo Carvalho, Brunna Priscylla Cardiology and Cardiovascular Surgery Department - Sao Jose do Rio Preto Medical School, Sao Jose do Rio Preto, SP, Brazil , Dos Santos, Marcio Antonio Hemodynamic and Interventional Cardiology Service - Hospital de Base, Sao Jose do Rio Preto, SP, Brazil , Guimarães Neto, Wilson Pedro Hemodynamic and Interventional Cardiology Service - Hospital de Base, Sao Jose do Rio Preto, SP, Brazil , Queiroz De França, Julio Cesar Hemodynamic and Interventional Cardiology Service - Hospital de Base, Sao Jose do Rio Preto, SP, Brazil , de Souza Braite, Marcio Rogerio Hemodynamic and Interventional Cardiology Service - Hospital de Base, Sao Jose do Rio Preto, SP, Brazil , De Araujo, Rodrigo Bottura Hemodynamic and Interventional Cardiology Service - Hospital de Base, Sao Jose do Rio Preto, SP, Brazil , Gomes Carvalho, Isabella Hemodynamic and Interventional Cardiology Service - Hospital de Base, Sao Jose do Rio Preto, SP, Brazil , Fernandes de Godoy, Moacir Hemodynamic and Interventional Cardiology Service - Hospital de Base, Sao Jose do Rio Preto, SP, Brazil
Abstract :
In this work are reported two cases of anomalous aortic origin of a coronary artery (AAOCA), with the left main coronary artery
(LMCA) arising at the right sinus of Valsalva in a 77-year-old woman and in a 79-year-old man submitted to angiography after
positive ischemic tests. 0e origin of the LMCA or the left descendant artery (LDA) from the right sinus of Valsalva has
a prevalence of 0.2%, the origin of the circumflex artery (CXA) from the right sinus 0.5%, and the origin of the right coronary
artery (RCA) from the left sinus of Valsalva has a prevalence of 0.3%. It is the subgroup of the coronary anomalies that has the
greatest potential for clinical repercussions, especially the sudden cardiac death (SCD). We discuss the diagnostic methods and
treatment options for this kind of coronary anomaly in symptomatic cases.
Keywords :
Anomalous Aortic , Coronary , Inappropriate Sinus , Valsalva during , Chest Pain
