JCCVS

Journal of Cardiology & Cardiovascular Surgery scientific, open-access, double-blind peer-reviewed journal covering a wide spectrum of topics in cardiology and cardiovascular surgery.

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Case Report
Anomalous circumflex artery originating from the right coronary sinus as the culprit in acute inferior myocardial infarction
Coronary artery anomalies are rare congenital conditions that are usually detected incidentally during coronary angiography or post-mortem examinations. Although many variants are clinically asymptomatic, they can be fatal in some cases. In this article, we present a 35-year-old male patient who presented with acute inferior myocardial infarction causing complete atrio-ventricular block. Angiography revealed a rare coronary anomaly, the left circumflex artery originating from the right sinus of Valsalva. The lesion, caused by severe stenosis in the proximal segment of this anomalous vessel, was successfully treated with primary percutaneous coronary intervention. This case highlights the diagnostic and therapeutic challenges of such anatomic variations in the setting of acute coronary syndrome and reviews the current literature on interventional strategies.


1. Zhang LJ, Yang GF, Huang W, Zhou CS, Chen P, Lu GM. Incidence of anomalous origin of coronary artery in 1879 Chinese adults on dual-source CT angiography. Neth Heart J. 2010;18(10):466-470. doi:10.1007/BF03091817
2. Rozenman Y, Schechter D, Gilon D, Gotsman MS. Anomalous origin of the circumflex coronary artery from the right sinus of Valsalva as a cause of ischemia at old age. Clin Cardiol. 1993;16(12):900-901. doi:10. 1002/clc.4960161213
3. Yuksel S, Meric M, Soylu K, et al. The primary anomalies of coronary artery origin and course: a coronary angiographic analysis of 16,573 patients. Exp Clin Cardiol. 2013;18(2):121-123.
4. Wyeth RP, Santo A. Variant aortic sinusal origin of the left circumflex coronary artery. Int J Anat Var. 2014;7:109-111.
5. Samarendra P, Kumari S, Hafeez M, Vasavada BC, Sacchi TJ. Anomalous circumflex coronary artery: benign or predisposed to selective atherosclerosis. Angiology. 2001;52(8):521-526. doi:10.1177/ 000331970105200803
6. Sarkar K, Sharma SK, Kini AS. Catheter selection for coronary angiography and intervention in anomalous right coronary arteries. J Interv Cardiol. 2009;22(3):234-239. doi:10.1111/j.1540-8183.2009. 00463.x
7. Talanas G, Delpini A, Bilotta F. Primary angioplasty of an anomalous right coronary artery arising from the left sinus of Valsalva. J Cardiovasc Med (Hagerstown). 2012;13(1):60-64. doi:10.2459/JCM. 0b013e328340396e
Volume 3, Issue 3, 2025
Page : 68-70
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