Coronary Artery Connection Abnormality Revealed by Acute Coronary Syndrome: A Case Report and Review of the Literature
H. Nabawi *
Department of Cardiology, Mohammed VI University Hospital, Marrakesh, Morocco.
M. Boutgourine
Department of Cardiology, Mohammed VI University Hospital, Marrakesh, Morocco.
B. Maatouf
Department of Cardiology, Mohammed VI University Hospital, Marrakesh, Morocco.
I. Rhoujati
Department of Cardiology, Mohammed VI University Hospital, Marrakesh, Morocco.
M. Eljamili
Department of Cardiology, Mohammed VI University Hospital, Marrakesh, Morocco.
M. Elhattaoui
Department of Cardiology, Mohammed VI University Hospital, Marrakesh, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Coronary artery connection abnormalities are rare with an angiographic prevalence of approximately 1%. Their symptomatology is very varied, from incidental discovery to sudden death by myocardial ischemia, especially during exercise, hence the importance of early diagnosis and management. Angiographic diagnosis is generally easy, but it is sometimes difficult to specify the initial course of the ectopic vessel, hence the interest of non-invasive imaging, in particular the coronary CT scan. This latter represents the innovative imaging of choice for assessing the anatomical risk and selecting candidates for surgical treatment. We report a case of abnormal connection of the left coronary revealed by an acute coronary syndrome and we present a review of the literature on the different anatomical forms of the pathology and its management.
Keywords: Coronary artery connection abnormalities, sudden death, coronary angiography, the coronary CT scan