Table 1. Summary of characteristics of reported cases with this unusual anomaly .
Case | Author/Year | Age/Sex | Presenting Symptom | Angiography | Associated Conditions | Further imaging | Treatment | Outcome |
1 | Tavernarakis 1986 | 57/M | TCP | LAD lesion | None | None | NA | NA |
2 | Sheth 1988 | 60/M | ATCP | No lesion | None | None | None | NA |
3 | Vrolix 1991 | 51/M | TCP | LCX lesion | None | None | CABG | |
4 | Shammas 2001 | 44/F | Chest pain | No lesion | None | None | None | NA |
5 | Shammas 2001 | 30/M | Dyspnea/chest discomfort | No lesion | None | Mild posterolateral ischemia in MPI | None | NA |
6 | Turhan 2003 | 52/M | ATCP | No lesion | None | None | None | NA |
7 | Asha 2003 | 62/M | UA | LCX & LAD lesion | None | None | CABG | Uneventful recovery |
8 | Yoshimoto 2004 | 63/M | ATCP | No lesion | Atrial fibrillation | None | Oral anticoagulation for AF | NA |
9 | Chou 2004 | 42/M | TCP | 40% lesion in LCX | None | Anteroapical ischemia in MPI | Medical | Asymotimatic at 1.5 yrs f/u |
10 | Kunimasa 2007 | 61/M | MI | LAD lesion | None | MSCT | NA | NA |
11 | Celik 2008 | 57/M | TCP | No lesion | None | Normal MPI | Medical | Asymptomatic at 1 yr f/u |
12 | Tanawuttiwat 2009 | 44/F | ATCP | No lesion | None | Normal DSE | Medical | NA |
13 | Datta 2010 | 69/F | TCP | No lesion | None | None | None | Asymptomatic at 1 yr f/u |
14 | Choi 2010 | 68/F | ATCP | No lesion | None | Normal MPI | NA | Symptoms resolved with CCB and nitrate |
15 | Chung 2010 | 77/F | TCP | LAD lesion | None | Normal MPI | PCI on LAD | NA |
16 | Ghaffari 2010 | 65/F | Dyspnea | No lesion | Massive pulmonary embolism | None | Medical | Dyspnea at 3 months f/u |
17 | Voyce 2010 | 76/F | RVMI | LAD and LCX lesion | None | None | PCI on LCX | Asymotimatic at 3 yrs f/u |
18 | Sonmez 2011 | 63/F | Subacute MI | LAD lesion | None | None | PCI on LAD | NA |
19 | Turfan 2012 | 58/M |
exertional dyspnea and chest pain |
Mid LAD lesion |
Severe mitral regurgitation | None | Mitral valve surgery | NA |
20 | Ma 2012 | 39/M | RV MI | Distal LCX occlusion | None | None | PCI on LCX | NA |
21 | Blaschke 2013 | 59/F | TCP | No lesion | None | Negative DSE and Stress-perfusion cardiac MRI | None | NA |
22 | De Augustin 2014 | 40/M | ATCP | No lesion | None | Inconclusive EST,MSCT | Conservative | NA |
23 | Pourbehi 2014 | 47/M | MI | LCX & LAD lesion | None | None | PCI | Asymptomatic at 8 months f/u |
24 | Present case | 44/M | MI | LAD lesion | None | None | PCI | Asymptomatic at 3 years f/u |
ATCP=atypical chest pain, TCP= typical chest pain, PCI= percutaneous coronary intervention, MI= myocardial infarction, M=male, F= female, DSE= dobutamine stress echocardiography, MPI= myocardial perfusion imaging, UA= unstable angina, AF=atrial fibrillation, CABG= coronary artery bypass grafting, f/u=follow-up, RV=right ventricle, CCB= calcium channel blocker, NA= not available