The right coronary artery originating from the distal circumflex artery

Songül Cuglan 1 * , Bilal Cuglan 2
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1 Department of Anatomy, Faculty of Medicine, Beykent University, Istanbul, Turkey
2 Department of Cardiology, Faculty of Medicine, Bahçeşehir University, Istanbul, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 4, Issue 54, pp. 47-50. https://doi.org/10.23950/1812-2892-JCMK-00725
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ABSTRACT

We report a case of anomalous origin of the right coronary artery in a 58-year-old male patient. The patient had a single coronary ostium originating from the left sinus valsalva. Right coronary artery was originating from the distal circumflex artery. There was no other cardiac anomaly in association with this rare case. Our patient had only severe atherosclerosis in the proximal left anterior descending artery with normal coronary flow in the circumflex artery. Generally, cases with single coronary ostium are considered to be benign. However, these patients experience the symptoms of coronary artery disease more critically because of dependence on one coronary artery.
Keywords: coronary angiography, cardiovascular abnormalities, coronary vessel anomalies

CITATION

Cuglan S, Cuglan B. The right coronary artery originating from the distal circumflex artery. Journal of Clinical Medicine of Kazakhstan. 2019;4(54):47-50. https://doi.org/10.23950/1812-2892-JCMK-00725

REFERENCES

  • Agden JA, Goodyear AN. Patterns of distribution of the single coronary artery. Yale J Biol Med. 1970; 43: 11–21.
  • Chung SK, Lee SJ, Park SH, Lee SW, Shin WY, Jin DK. An extremely rare variety of anomalous coronary artery: right coronary artery originating from the distal left circumflex artery. Korean Circ J. 2010; 40(9): 465-467. https://doi.org/10.4070/kcj.2010.40.9.465
  • Asha M, Sriram R, Mukundan S, Abraham KA. Single coronary artery from the left sinus with atherosclerosis. Asian Cardiovascular and Thoracic Annals. 2003; 11(2):163-164. https://doi.org/10.1177/021849230301100217
  • Longnecker CG, Reemisa K, Creech JrD. Surgical implications of single coronary artery. Am Heart J. 1961; 61:382–386. https://doi.org/10.1016/0002-8703(61)90610-X
  • Turhan H, Duru E, Yetkin E, Atak R, Senen K. Right coronary artery originating from distal left circumflex: an extremely rare variety of single coronary artery. Int J Cardiol. 2003; 88:309-311. https://doi.org/10.1016/S0167-5273(02)00324-8
  • Lipton MJ, Barry WH, Obrez I, Silverman JF, Wexler L. Isolated single coronary artery: diagnosis, angiographic classification, and clinical significance. Radiology. 1979; 130:39-47. https://doi.org/10.1148/130.1.39
  • Choi HY, Kim JW, Moon JM, Kim YJ, Choi CU, Lim HE, et al. Unusual dominant course of left circumflex coronary artery to right coronary artery territory with absent right coronary artery. J Cardiol. 2010; 55(1):117-119. https://doi.org/10.1016/j.jjcc.2009.03.014
  • Tavernarakis A, Voudris V, Ifantis G, Tsaganos N. Anomalous origin of the right coronary artery arising from the circumflex artery. Clinical cardiology. 1986; 9(5):230-232. https://doi.org/10.1002/clc.4960090514
  • Sheth M, Dovnarsky M, Cha SD, Kini P, Maranhao V. Single coronary artery: right coronary artery originating from distal left circumflex. Cathet Cardiovasc Diagn. 1988; 14:180. https://doi.org/10.1002/ccd.1810140310
  • Vrolix MC, Geboers M, Sionis D, De Geest H, Van de Werf F. Right coronary artery originating from distal circumflex: an unusual feature of single coronary artery. Eur Heart J. 1991; 12:746. https://doi.org/10.1093/eurheartj/12.6.746
  • Shammas RL, Miller MJ, Babb JD. Single left coronary artery with origin of the right coronary artery from distal circumflex. Clinical cardiology. 2001; 24(1):90-92. https://doi.org/10.1002/clc.4960240115
  • Yoshimoto S, Hirooka K, Irino H, Abe H, Yasuoka Y, Yamamoto H et al. Anomalous Right Coronary Artery Originating From the Distal Left Circumflex Artery. Japanese heart journal. 2004; 45(4):679-683. https://doi.org/10.1536/jhj.45.679
  • Chou LP, Kao C, Lee MC, Lin SL. Right coronary artery originating from distal left circumflex artery in a patient with an unusual type of isolated single coronary artery. Japanese heart journal. 2004; 45(2):337-342. https://doi.org/10.1536/jhj.45.337
  • Nielsen BD, Frøbert O. Single coronary artery, ventricular tachycardia, and a family history of sudden death. Cardiology in review. 2005; 13(5):263-265. https://doi.org/10.1097/01.crd.0000148165.68016.1d
  • Kunimasa T, Sato Y, Ito S, Takagi T, Lee T, Saeki F, et al. Absence of the right coronary artery detected by 64-detector-row multislice computed tomography. International journal of cardiology. 2007; 115(2):249-250. https://doi.org/10.1016/j.ijcard.2006.01.039
  • Çelik T, İyisoy A, Yüksel Ç, Isik E. Anomalous right coronary artery arising from the distal left circumflex coronary artery. Anadolu Kardiyoloji Dergisi. 2008; 8(6): 459.
  • Canbay A, Ozcan O, Aydoğdu S, Diker E. Single coronary artery anomaly: a report of three cases. Turk Kardiyol Dern Ars. 2008; 36:473-475.
  • Araki M, Miyamoto M. Acute myocardial infarction of the right coronary artery originating from the distal left circumflex artery. Circulation Journal. 2008; 0810080107-0810080107. https://doi.org/10.1253/circj.CJ-07-0747
  • Tanawuttiwat T, Harindhanavudhi T, Trivedi D. Anomalous Single Coronary Artery with Absent Right Coronary Artery Diagnosed with the Aid of 64-Slice Multidetector Computed Tomographic Angiography. Tex Heart Inst J. 2009; 36:362–363.
  • Datta S, Moussa T, Hussain F. Anomalous right coronary artery originating from the distal left circumflex artery: a novel coronary artery anomaly viewed by computed tomography and invasive angiography. The Canadian journal of cardiology. 2010; 26(6):e213. https://doi.org/10.1016/S0828-282X(10)70404-9
  • Ghaffari S, Pourafkari L. Pulmonary embolism in a patient with a rare coronary anomaly — a clue to the importance of proximal right coronary artery branches. Kardiol Pol. 2010; 68(7):844–846.
  • Voyce SJ, Abughnia H. An unusual cause of right ventricular myocardial infarction. The Journal of invasive cardiology. 2010; 22(11):E172-175.
  • Sönmez O, Gül EE, Altunbaş G, Ozdemir K. Right coronary artery arising from the distal left circumflex artery. Turk Kardiyoloji Dernegi arşivi. 2011; 39(4):325-327. https://doi.org/10.5543/tkda.2011.00769
  • Turfan M, Aydın C, Elbey MA, Erdoğan E, Asoglu E, Basel H, et al. Right coronary artery originating from the distal left circumflex artery, evaluation using three imaging techniques. Clinics. 2012; 67(12):1517-1518. https://doi.org/10.6061/clinics/2012(12)28
  • Ma SH, Kim DH, Hur JY, Kim KS, Byun SJ, Park KH,et al. Right ventricular myocardial infarction due to right coronary artery total occlusion originating from the distal left circumflex artery. Korean circulation journal. 2012; 42(8):565-567. https://doi.org/10.4070/kcj.2012.42.8.565
  • Blaschke F, Zimmermann E, Greupner J, Zohlnhoefer D, Krackhardt HW, Haverkamp W, et al. A Rare Case of a Congenital Single Coronary Artery: Right Coronary Artery Originating From the Distal Left Circumflex Artery. Vascular Disease Management. 2013; 10(11):E244-E247.
  • Pourbehi MR, Amini A, Farrokhi S. Single coronary artery with anomalous origin of the right coronary artery from the distal portion of left circumflex artery: a very rare case. The Journal of Tehran University Heart Center. 2013; 8(3):161-163.
  • de Agustin JA, de Diego JJG, Marcos-Alberca P, Rodrigo JL, Almeria C, Nuñez-Gil IJ et al. Single left coronary artery with the right coronary artery arising as a continuation from the distal circumflex coronary artery assessed by multislice computed tomography. International journal of cardiology. 2014; 174(3):814-815. https://doi.org/10.1016/j.ijcard.2014.04.145
  • Pourafkari L, Taban M, Ghaffari S. Anomalous origin of right coronary artery from distal left circumflex artery: a case study and a review of its clinical significance. Journal of cardiovascular and thoracic research. 2014; 6(2):127.
  • García-Blas S, Valero E, Escribano D, Bonanad C, Sanchis J, Núñez J. Guideliner use for the percutaneous treatment of right coronary artery arising from the left circumflex (L-type single coronary artery). International journal of cardiology. 2015;185: 2-3. https://doi.org/10.1016/j.ijcard.2015.03.084
  • Singh S, Sahoo SK, Tripathy MP, Jena G. Angiographic enigma: A single coronary artery with the right coronary artery originating from the distal left circumflex artery. Heart views: the official journal of the Gulf Heart Association. 2015; 16(3):104. https://doi.org/10.4103/1995-705X.164465