Case Reports in Cardiology (Jan 2018)

Anomalous Left Main Coronary Artery Arising from the Right Sinus of Valsalva in a Young Man Presenting with Recurrent Syncope and Myocardial Infarction

  • Koroush Khalighi,
  • Munish Sharma,
  • Amit Toor,
  • Rubinder S. Toor,
  • Gary Costacurta

DOI
https://doi.org/10.1155/2018/9805061
Journal volume & issue
Vol. 2018

Abstract

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A 19-year-old man with the left main coronary artery (LMCA) arising from the right sinus of Valsalva presented with recurrent episodes of syncope and myocardial infarction (MI). Anomalous aortic origin of a coronary artery (AAOCA) is an uncommon but extremely important differential diagnosis that should not be missed in patients presenting with syncope, MI, ventricular arrhythmias, or cardiac arrest. A definitive diagnosis with coronary angiography and prompt surgical intervention is imperative in such symptomatic patients.