Anomalous origin of all three coronary arteries from right sinus of Valsalva in a patient with angina pectoris
Modi, H.; Ericssossi, B.; Trivedi, D.
Journal of Invasive Cardiology 23(1): E240-E242
2011
ISSN/ISBN: 1557-2501 PMID: 21183773 Document Number: 653519
Anomalous origin of coronary arteries is uncommon, and all 3 coronary arteries arising from a single sinus of Valsalva is very rare. The anomaly has been associated with myocardial infarction and sudden cardiac death in particular when the anomalous left coronary artery courses between the great vessels. Imaging modalities have a complementary role to angiography in the diagnosis. Percutaneous interventions are technically difficult. Surgical options like direct repair of anomalous artery or coronary artery bypass graft can be helpful. We report a case of a patient who presented with chest pain and was found to have all 3 coronary arteries arising from the right sinus of Valsalva.