Tek Koroner Arter Anomalileri
Synopsis
Nadir bir konjenital anormalliklerden olan tek koroner arter vakası sunulmuştur. Hastalar genellikle asemptomatiktir, ancak tipik göğüs ağrısı, ventriküler fibrilasyon veya miyokard enfarktüsü ile başvurabilmektedir. Bu vakamız 75 yaşında efor anjinası ile başvuran hastanın sol ventrikül duvar hareket kusuru olması üzerine yapılan koroner anjiyografide tek koroner arter anomalisi izlenmiştir. Tek koroner arter anomalileri ani kardiyak ölümle nedenlerinden biri olup gerek tansı gerek tedavisi koroner arterlerin anatomisine göre belirlenmektedir. Koroner anatomi durumuna göre anomali sınıflamasında Lipton sınıflaması kullanılmaktadır. Nihai tedavi kararı hastanın semptomlarına ve anatomik seyrine göre kardiyoloji ve kalp damar cerrahisi tarafından multidisipliner yaklaşıma göre belirlenmektedir.
References
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Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Catheterization and cardiovascular diagnosis. 1990;21(1):28-40.
Kardos A, Babai L, Rudas L, Gaál T, Horváth T, Tálosi L, et al. Epidemiology of congenital coronary artery anomalies: a coronary arteriography study on a central European population. Catheterization and cardiovascular diagnosis. 1997;42(3):270-5.
Gowda RM, Chamakura SR, Dogan OM, Sacchi TJ, Khan IA. Origin of left main and right coronary arteries from right aortic sinus of Valsalva. International journal of cardiology. 2003;92(2):305-6.
Von Kodolitsch Y, Franzen O, Lund G, Koschyk D, Ito W, Meinertz T. Coronary artery anomalies. Clinical Research in Cardiology. 2005;94(1):1.
Shrivastava S, Mohan J, Mukhopadhyay S, Rajani M, Tandon R. Coronary artery anomalies in tetralogy of Fallot. Cardiovascular and interventional radiology. 1987;10:215-8.
Taylor AJ, Rogan KM, Virmani R. Sudden cardiac death associated with isolated congenital coronary artery anomalies. Journal of the American College of Cardiology. 1992;20(3):640-7.
Click RL, Holmes DR, Vlietstra RE, Kosinski AS, Kronmal RA. Anomalous coronary arteries: location, degree of atherosclerosis and effect on survival—a report from the Coronary Artery Surgery Study. Journal of the American College of Cardiology. 1989;13(3):531-7.
Lipton MJ, Barry WH, Obrez I, Silverman JF, Wexler L. Isolated single coronary artery: diagnosis, angiographic classification, and clinical significance. Radiology. 1979;130(1):39-47.
Şahin DY, Bozkurt A. Tipik angina pektorise neden olan tek koroner arter anomalisi: Olgu sunumu. Türk Kardiyoloji Derneği Arşivi. 2010;38(2):121-4.
Basso C, Maron BJ, Corrado D, Thiene G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. Journal of the American College of Cardiology. 2000;35(6):1493-501.
Yurtdas M, Gülen O. Anomalous origin of the right coronary artery from the left anterior descending artery: review of the literature. Cardiology journal. 2012;19(2):122-9.
Harrington RA, Anderson JL, Bates ER, Bridges CR, Eisenberg MJ, Ferrari VA, et al. ACCF/ACR/AHA/NASCI/SCMR 2010 Expert Consensus Document on Cardiovascular Magnetic Resonance. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY. 2010;55(23):2614-62.
Rudan D, Todorovic N, Starcevic B, Raguz M, Bergovec M. Percutaneous coronary intervention of an anomalous right coronary artery originating from the left coronary artery. Wiener Klinische Wochenschrift. 2010;122.
Rinaldi RG, Carballido J, Giles R, Del Toro E, Porro R. Right coronary artery with anomalous origin and slit ostium. The Annals of thoracic surgery. 1994;58(3):828-32.
Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Catheterization and cardiovascular diagnosis. 1990;21(1):28-40.
Kardos A, Babai L, Rudas L, Gaál T, Horváth T, Tálosi L, et al. Epidemiology of congenital coronary artery anomalies: a coronary arteriography study on a central European population. Catheterization and cardiovascular diagnosis. 1997;42(3):270-5.
Gowda RM, Chamakura SR, Dogan OM, Sacchi TJ, Khan IA. Origin of left main and right coronary arteries from right aortic sinus of Valsalva. International journal of cardiology. 2003;92(2):305-6.
Von Kodolitsch Y, Franzen O, Lund G, Koschyk D, Ito W, Meinertz T. Coronary artery anomalies. Clinical Research in Cardiology. 2005;94(1):1.
Shrivastava S, Mohan J, Mukhopadhyay S, Rajani M, Tandon R. Coronary artery anomalies in tetralogy of Fallot. Cardiovascular and interventional radiology. 1987;10:215-8.
Taylor AJ, Rogan KM, Virmani R. Sudden cardiac death associated with isolated congenital coronary artery anomalies. Journal of the American College of Cardiology. 1992;20(3):640-7.
Click RL, Holmes DR, Vlietstra RE, Kosinski AS, Kronmal RA. Anomalous coronary arteries: location, degree of atherosclerosis and effect on survival—a report from the Coronary Artery Surgery Study. Journal of the American College of Cardiology. 1989;13(3):531-7.
Lipton MJ, Barry WH, Obrez I, Silverman JF, Wexler L. Isolated single coronary artery: diagnosis, angiographic classification, and clinical significance. Radiology. 1979;130(1):39-47.
Şahin DY, Bozkurt A. Tipik angina pektorise neden olan tek koroner arter anomalisi: Olgu sunumu. Türk Kardiyoloji Derneği Arşivi. 2010;38(2):121-4.
Basso C, Maron BJ, Corrado D, Thiene G. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes. Journal of the American College of Cardiology. 2000;35(6):1493-501.
Yurtdas M, Gülen O. Anomalous origin of the right coronary artery from the left anterior descending artery: review of the literature. Cardiology journal. 2012;19(2):122-9.
Harrington RA, Anderson JL, Bates ER, Bridges CR, Eisenberg MJ, Ferrari VA, et al. ACCF/ACR/AHA/NASCI/SCMR 2010 Expert Consensus Document on Cardiovascular Magnetic Resonance. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY. 2010;55(23):2614-62.
Rudan D, Todorovic N, Starcevic B, Raguz M, Bergovec M. Percutaneous coronary intervention of an anomalous right coronary artery originating from the left coronary artery. Wiener Klinische Wochenschrift. 2010;122.
Rinaldi RG, Carballido J, Giles R, Del Toro E, Porro R. Right coronary artery with anomalous origin and slit ostium. The Annals of thoracic surgery. 1994;58(3):828-32.
Pages
73-80
Published
May 2, 2024
Copyright (c) 2024 Academician Publishing Book Portal
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LicenseHow to Cite
1.
Ateş MS. Tek Koroner Arter Anomalileri. In: Erol Ç, editor. Olgular Eşliğinde Kardiyoloji II [Internet]. Türkiye: Academician Publishing Book DOI Portal; 2024 [cited 2026 Jul. 13]. pp. 73-80. Available from: https://omp35.books.akademisyen.net/index.php/akya/catalog/book/3007/chapter/13232
