우 Valsalva동에서 기시한 좌주관상동맥 기형과 합병된 동맥관개존증 1예A case of anomalous origin of left main artery from right aortic sinus of Valsalva in patient with patent ductus arteriosus
- Other Titles
- A case of anomalous origin of left main artery from right aortic sinus of Valsalva in patient with patent ductus arteriosus
- Authors
- 주형준; 홍순준; 김진석; 박희남; 심완주; 신승용; 임도선
- Issue Date
- 2008
- Publisher
- 대한내과학회
- Keywords
- 동맥관개존증; 관상동맥; Congenital coronary artery; Anomalous origin of left main coronary artery; Patent ductus arteriosus; Congenital coronary artery; Anomalous origin of left main coronary artery; Patent ductus arteriosus
- Citation
- 대한내과학회지, v.74, no.2, pp.188 - 191
- Indexed
- KCI
- Journal Title
- 대한내과학회지
- Volume
- 74
- Number
- 2
- Start Page
- 188
- End Page
- 191
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/124971
- ISSN
- 1738-9364
- Abstract
- The finding of a left main coronary artery arising from the right sinus of Valsalva is a rare congenital anomaly. The clinical course of patients with a congenital anomaly of the coronary artery may be compromised depending on its anatomic relationship with adjunctive structures. Some anomalous origins of the left main coronary arteries arising from right aortic sinus of Valsalva have been associated with angina pectoris and sudden death, especially if their pathways are between the pulmonary artery and the aorta. We report a rare case with a combined congenital anomalous origin of the left main coronary artery arising with the right coronary artery simultaneously from the right aortic sinus of Valsalva in a patient with a patent ductus arteriosus. The left main coronary artery was extremely long because its pathway went in front of the pulmonary artery. There was no evidence of artherosclerosis or dynamic stenosis on the angiogram. (Korean J Med 74:188-191, 2008)
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