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Dr. Eman Esmaeel Hamed EL-Wakeel :: Publications:

Title:
Rare unexpected anatomy of the coronary artery: combination of two coronary anomalies case report
Authors: Ayman Shaalan1,3*, Eman E. El Wakeel2,4, Mohamed A Alassal3,5 and Hany H. Ebaid6
Year: 2016
Keywords: Not Available
Journal: Not Available
Volume: Not Available
Issue: Not Available
Pages: Not Available
Publisher: Not Available
Local/International: International
Paper Link: Not Available
Full paper Eman Esmaeel Hamed WL-Wakeel_JIC-2-158.pdf
Supplementary materials Not Available
Abstract:

Background: Anomalous origin of either the left main coronary artery (LMCA) or right coronary artery (RCA) from the aorta and their course between the aorta and pulmonary trunk is rare with prevalence about 5% and mostly considered as a fatal coronary artery anomaly. Case Summary: We reported two cases which represented one type of abnormal developmental disorder affecting coronary anatomy, with combined two rare malformations affecting coronary circulation in adult age. Also clarified how new technology through cardiac MRI and CT coronary angiography gave us excellent gross anatomical details to complete the diagnosis and management. Conclusion: Our documented rare cases showed a combination of two coronary anomalies, firstly abnormal origin of LAD and LCX from right coronary sinus and simultaneously the abnormal malignant course of LAD between ascending aorta and pulmonary trunk. Anomalous origins of the left coronary artery is a rare case that carry a higher risk of sudden cardiac death,so need meticulous care and mangment.

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