Anomalous Origin of the Right Coronary Artery from the Left Sinus Valsalva with Coronary Ectasia英文文献资料.docVIP

International Journal of Clinical Medicine, 2011, 2, 269-271 269 doi:10.4236/ijcm.2011.23043 Published Online July 2011 (http://www.SciRP.org/journal/ijcm) Anomalous Origin of the Right Coronary Artery from the Left Sinus Valsalva with Coronary Ectasia Nihat S?ylemez , Recep Demirba? , Tuncay Haz?rolan , Onur Akp?nar 1 1 2 3* 1 3 Department of Cardiology, Harran University, ?anl?urfa, Turkey; Department of Radiology, Hacettepe University, Ankara, Turkey; 2 Department of Cardiogy, Gaziantep Medical Park Hospital, Gaziantep, Turkey. Email: onur_akpinar@ * Received January 26 , 2011; revised April 6 , 2011; accepted June 27 , 2011. th th th ABSTRACT The abnormal origin of the right coronary artery from the left aortic sinus coursing between the aorta and the pulmo- nary trunk is a rare congenital anomaly. It may remain asymptomatic or may result in cardiac morbidity or mortality. In the past, an anomalous origin of the right coronary artery from the left sinus of Valsalva was considered a benign finding; it is now evident that this anomaly can be associated with atypical chest pain, myocardial ischemia, and sudden death. We thought that; the diagnosis of left sinus Valsalva aneurysm, described by transtorasic echocardiography and transeusophageal echocardiography, might need demonstrated advanced scanning techniques. Keywords: Congenital Anomaly, Coronary Ectasia, Echocardiography, Multi Detector Computerize Tomography 1. Introduction tine phosphokinase isoenzyme of 117 ng/mlt, troponin I of 0.02 ng/mlt, total cholesterol of 224 mg/dL, high den- sity lipoprotein cholesterol of 53 mg/dL, low density lipoprotein-cholesterol of 162 mg/dL, and triglycerides of 45 mg/d. Other biochemistry