Serpentine Left Circumflex Coronary Artery Aneurysm as a Rare Cause of Angina with Contrast-Enhanced Multislice Computed Tomographic Evaluation
DOI:
https://doi.org/10.1532/HSF98.20121060Abstract
Left circumflex coronary artery anomalies are rare causes of cardiac symptoms, especially in the adult population. Herein we describe a case of a 40-year-old man presenting with stable angina who was found to have aneurysmal formation and fistulization of the left circumflex coronary artery to the coronary sinus. Contrast-enhanced multislice computed tomography was very useful in our case for the diagnosis of such anomalies.References
Gupta V, Truong QA, Okada DR, et al. 2008. Images in cardiovascular medicine. Giant left circumflex coronary artery aneurysm with arteriovenous fistula to the coronary sinus. Circulation 118:2304-7.nLatson L. 2007. Coronary artery fistulas: how to manage them. Catheter Cardiovasc Interv 70:110-6.nNakayama Y, Shikawa A, Ayusawa Y, et al. 2011. Surgical repair of complicated coronary arteriovenous fistula and coronary artery aneurysm in an elderly patient after 26 years of conservative therapy. Heart Vessels 26:111-6.nTacoy G, Ebinc H, Onal B, Abaci A, Ilgit E, Yalçin R. 2009. Congenitally severe tortuous circumflex artery fistula draining into the coronary sinus: transcatheter closure with Guglielmi detachable coils via different delivery system. J Cardiol 54:317-21.nYamanaka O, Hobbs RE. 1990. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 21:28-40.n
