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A case of acute myocardial infarction with the anomalous origin of the right coronary artery from the ascending aorta above the left sinus of Valsalva and left coronary artery from the posterior sinus of Valsalva.

Research paper by Jung-Jin JJ Lee, Dae-Hyeok DH Kim, Sung-Su SS Byun, Woong-Gil WG Choi, Chan-Woo CW Lee, Seung-Min SM Yi, Jun J Kwan, Keum-Soo KS Park, Woo-Hyung WH Lee

Indexed on: 05 Mar '09Published on: 05 Mar '09Published in: Yonsei medical journal



Abstract

Coronary anomalies are rare angiographic findings. Moreover, there are few reports of cases of an anomalous origin of the right coronary artery from the left sinus of Valsalva and of the left coronary artery from the posterior sinus of Valsalva. Here, we report a case with an anomalous origin of the right coronary artery from the ascending aorta above the left sinus of Valsalva and the left coronary artery from the posterior sinus of Valsalva. This was observed in a patient who was treated for a myocardial infarction of the inferior wall caused by a thrombus in the proximal right coronary artery. The patient was treated successfully with the implantation of a stent in the anomalous origin of the right coronary artery using a 6Fr Amplatz left 1 catheter.