Right coronary artery originating from the left anterior descending artery, or double localized stemi with a twist: case report

In our case report, we describe an incidental finding of a congenital malformation of a coronary artery in a patient with acute coronary syndrome and we would like to present the importance of these findings. Coronary anomalies in an otherwise structurally normal heart are rare entities, yet their k...

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Main Authors: Gábor Gergely, Zsolt István Szabó, Zsolt Körömi, Csaba Petrov
Format: Article
Language:English
Published: Promenade Kft 2025-12-01
Series:Cardiologia Hungarica
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Online Access:https://cardiologia.hungarica.eu/archive/2024-issues/2024-6-contents/right-coronary-artery-originating-from-the-left-anterior-descending-artery-or-double-localized-stemi-with-a-twist-case-report?article=closed
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author Gábor Gergely
Zsolt István Szabó
Zsolt Körömi
Csaba Petrov
author_facet Gábor Gergely
Zsolt István Szabó
Zsolt Körömi
Csaba Petrov
author_sort Gábor Gergely
collection DOAJ
description In our case report, we describe an incidental finding of a congenital malformation of a coronary artery in a patient with acute coronary syndrome and we would like to present the importance of these findings. Coronary anomalies in an otherwise structurally normal heart are rare entities, yet their knowledge is necessary even for practicing cardiologists, especially those performing coronary interventions. In the single coronary artery cases – as the name suggests – the entire coronary artery system originates from a single common trunk. One of the more common variations occurs when the main trunk originates from the left Valsalva sinus and the right coronary artery originates from the proximal or medial section of the left anterior descending artery. In such anatomical conditions, choosing the planned interventional strategy is of great importance as a potentially larger myocardial area may be at risk during an acute coronary syndrome or in the event of an interventional complication.
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id doaj-art-a4280f95a0ff4196ba705a98991c99f3
institution Kabale University
issn 0133-5596
1588-0230
language English
publishDate 2025-12-01
publisher Promenade Kft
record_format Article
series Cardiologia Hungarica
spelling doaj-art-a4280f95a0ff4196ba705a98991c99f32025-01-06T13:12:59ZengPromenade KftCardiologia Hungarica0133-55961588-02302025-12-0154644945310.26430/CHUNGARICA.2024.54.6.449Right coronary artery originating from the left anterior descending artery, or double localized stemi with a twist: case reportGábor Gergely0Zsolt István Szabó1Zsolt Körömi2Csaba Petrov3Borsod-Abaúj-Zemplén Vármegyei Központi Kórház és Egyetemi Oktatókórház, Kardiovaszkuláris és Belgyógyászati Centrum, MiskolcBorsod-Abaúj-Zemplén Vármegyei Központi Kórház és Egyetemi Oktatókórház, Kardiovaszkuláris és Belgyógyászati Centrum, MiskolcBorsod-Abaúj-Zemplén Vármegyei Központi Kórház és Egyetemi Oktatókórház, Kardiovaszkuláris és Belgyógyászati Centrum, MiskolcBorsod-Abaúj-Zemplén Vármegyei Központi Kórház és Egyetemi Oktatókórház, Kardiovaszkuláris és Belgyógyászati Centrum, MiskolcIn our case report, we describe an incidental finding of a congenital malformation of a coronary artery in a patient with acute coronary syndrome and we would like to present the importance of these findings. Coronary anomalies in an otherwise structurally normal heart are rare entities, yet their knowledge is necessary even for practicing cardiologists, especially those performing coronary interventions. In the single coronary artery cases – as the name suggests – the entire coronary artery system originates from a single common trunk. One of the more common variations occurs when the main trunk originates from the left Valsalva sinus and the right coronary artery originates from the proximal or medial section of the left anterior descending artery. In such anatomical conditions, choosing the planned interventional strategy is of great importance as a potentially larger myocardial area may be at risk during an acute coronary syndrome or in the event of an interventional complication.https://cardiologia.hungarica.eu/archive/2024-issues/2024-6-contents/right-coronary-artery-originating-from-the-left-anterior-descending-artery-or-double-localized-stemi-with-a-twist-case-report?article=closedstemicoronary anomalyright coronary arterycoronary ct angiography
spellingShingle Gábor Gergely
Zsolt István Szabó
Zsolt Körömi
Csaba Petrov
Right coronary artery originating from the left anterior descending artery, or double localized stemi with a twist: case report
Cardiologia Hungarica
stemi
coronary anomaly
right coronary artery
coronary ct angiography
title Right coronary artery originating from the left anterior descending artery, or double localized stemi with a twist: case report
title_full Right coronary artery originating from the left anterior descending artery, or double localized stemi with a twist: case report
title_fullStr Right coronary artery originating from the left anterior descending artery, or double localized stemi with a twist: case report
title_full_unstemmed Right coronary artery originating from the left anterior descending artery, or double localized stemi with a twist: case report
title_short Right coronary artery originating from the left anterior descending artery, or double localized stemi with a twist: case report
title_sort right coronary artery originating from the left anterior descending artery or double localized stemi with a twist case report
topic stemi
coronary anomaly
right coronary artery
coronary ct angiography
url https://cardiologia.hungarica.eu/archive/2024-issues/2024-6-contents/right-coronary-artery-originating-from-the-left-anterior-descending-artery-or-double-localized-stemi-with-a-twist-case-report?article=closed
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AT zsoltkoromi rightcoronaryarteryoriginatingfromtheleftanteriordescendingarteryordoublelocalizedstemiwithatwistcasereport
AT csabapetrov rightcoronaryarteryoriginatingfromtheleftanteriordescendingarteryordoublelocalizedstemiwithatwistcasereport