An Intramural Left Main Coronary Artery with a Left Sinus of Valsalva Aneurysm: A Unique Combination of Congenital Anomalies
AbstractThe congenital anomaly of an intramural left main coronary artery arising in the anatomically correct aortic sinus is very infrequent. Aneurysms involving the sinus of Valsalva rarely arise from the left aortic sinus. We present the clinical features and surgical correction of this rare anomaly along with a short discussion of these congenital malformations.
Angelini P, Walmsley R, Cheong B, Ott D. 2010. Left main coronary artery originating from the proper sinus but with acute angulation and an intramural course, leading to critical stenosis. Tex Heart Inst J 37:221-5.nFrescura C, Basso C, Thiene G, et al. 1998. Anomalous origin of coronary arteries and risk of sudden death: a study based on an autopsy population of congenital heart disease. Hum Pathol 29:689-95.nHutchins GM, Kessler-Hanna A, Moore GW. 1988. Development of the coronary arteries in the embryonic human heart. Circulation 77:1250-7.nSchullerer D, Emmert M, Jacobs S, Plass A. 2011. Aneurysm of coronary sinus of Valsalva can rupture anytime! Heart Surg Forum 14:E210-1.n
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