Open AccessAnomalous Coronary Arteries: A Case of Rare and Incidental Findings
Author(s) -
Mihir Odak,
Ndausung Udongwo,
Dhaval Desai,
Matthew Schoenfeld
Publication year - 2021
Publication title -
journal of medical cases
Language(s) - English
Resource type - Journals
eISSN - 1923-4163
pISSN - 1923-4155
DOI - 10.14740/jmc3782
Subject(s) - medicine , asymptomatic , coronary sinus , cardiology , mitral regurgitation , sinus (botany) , coronary artery anomaly , artery , circumflex , coronary arteries , abnormality , cardiac catheterization , mitraclip , right coronary artery , coronary steal , radiology , coronary angiography , myocardial infarction , botany , psychiatry , biology , genus
Anomalous coronary artery from the opposite sinus (ACAOS) is an uncommon, yet highly variable anatomical abnormality. These coronary anatomy variants are often discovered incidentally during cardiac catheterization. These variants can be challenging intraoperatively and require adjustment by the operator. We present the case of a 93-year-old female who presented for shortness of breath due to severe mitral regurgitation (MR), who was found to have an anomalous left main coronary artery (LMCA) from the right sinus of Valsalva (RSOV). This asymptomatic finding was managed conservatively and patient underwent successful MitraClip treatment.