alexa Left Main Coronary Artery Arising From the Right Sinus of Valsalva in a Patient with Apical Hypertrophic Cardiomyopathy
ISSN: 2329-9495

Angiology: Open Access
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Case Report

Left Main Coronary Artery Arising From the Right Sinus of Valsalva in a Patient with Apical Hypertrophic Cardiomyopathy

Jincheng Guo*, Rong Xu and Wenming Chen

Department of Cardiology, Luhe Hospital, Capital Medical University, Beijing, China 101149

*Corresponding Author:
Dr. Jincheng Guo
Department of Cardiology, Luhe Hospital
Capital Medical University, Beijing, China,101149
Tel: +86-10-69543901
Fax: +86-10-69531069
E-mail: [email protected]

Received date: July 30, 2015; Accepted date: September 04, 2015; Published date: September 20, 2015

Citation: Guo J, Xu R, Chen W (2015) Left Main Coronary Artery Arising From the Right Sinus of Valsalva in a Patient with Apical Hypertrophic Cardiomyopathy. Angiol 3:157. doi: 10.4172/2329-9495.1000157

Copyright: © 2015 Guo J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Coexistence of left main  caronary artery emerging from the right sinus of Valsalva with Coronary artery-left ventricular fistulae and apical hypertrophic cardiomyopathy in the same patient has not been reported before. An apparently healthy 55-year-old male was referred for evaluation of atypical chest pain. Electrocardiography, computed tomography angiography and echocardiography confirmed the diagnosis of apical hypertrophic cardiomyopathy. Coronary angiography and computed tomography angiography demonstrated left main coronary artery arising from the right sinus, with left main coronary artery taking a course anterior to the pulmonary artery. The patient received treatment using a calcium channel blocker and stayed asymptomatic until the end of six months of follow-up.


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