Abstract
The cause of chest pain in patients with anomalous origin of the right coronary artery from the left sinus of Valsalva has not yet been elucidated. In the following case, this anomaly was demonstrated, upon angiography, in a patient with recurrent chest pain and a negative stress test; in addition, spasm of the left anterior descending coronary artery was documented during ergonovine provocation. To our knowledge, this is the first time coronary artery spasm has been documented in a patient with this anomaly. On the basis of this case, we recommend ergonovine testing for all angina patients with aberrant coronary arteries in whom no other cause of chest pain is found at cardiac catheterization. (Texas Heart Institute Journal 1988; 15:124-127)
Keywords: Coronary vasospasm
Keywords: coronary vessel anomalies
Keywords: coronary circulation
Keywords: angina pectoris, variant
Keywords: sinus of Valsalva
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Cheitlin M. D., De Castro C. M., McAllister H. A. Sudden death as a complication of anomalous left coronary origin from the anterior sinus of Valsalva, A not-so-minor congenital anomaly. Circulation. 1974 Oct;50(4):780–787. doi: 10.1161/01.cir.50.4.780. [DOI] [PubMed] [Google Scholar]
- Engel H. J., Torres C., Page H. L., Jr Major variations in anatomical origin of the coronary arteries: angiographic observations in 4,250 patients without associated congenital heart disease. Cathet Cardiovasc Diagn. 1975;1(2):157–169. doi: 10.1002/ccd.1810010205. [DOI] [PubMed] [Google Scholar]
- Roberts W. C., Siegel R. J., Zipes D. P. Origin of the right coronary artery from the left sinus of valsalva and its functional consequences: analysis of 10 necropsy patients. Am J Cardiol. 1982 Mar;49(4):863–868. doi: 10.1016/0002-9149(82)91970-1. [DOI] [PubMed] [Google Scholar]
- Thompson S. I., Vieweg W. V., Alpert J. S., Hagan A. D. Anomalous origin of the right coronary artery from the left sinus of Valsalva with associated chest pain: report of two cases. Cathet Cardiovasc Diagn. 1976;2(4):397–402. doi: 10.1002/ccd.1810020414. [DOI] [PubMed] [Google Scholar]