Hypoplastic Left Circumflex Coronary Artery: Imaging Findings with Coronary Computed Tomography Angiography - A Case Report

Author(s): Asli Tanrivermis Sayit*, Cetin Celenk

Journal Name: Current Medical Imaging
Formerly: Current Medical Imaging Reviews

Volume 15 , Issue 4 , 2019

Become EABM
Become Reviewer

Graphical Abstract:


Abstract:

Background: Hypoplastic coronary artery disease is a rare congenital coronary artery anomaly. It is often detected incidentally, and its true incidence in the general population is not known.

Discussion: Symptoms of HCAD are syncope, palpitations, dyspnea, and chest pain. Also, arrhythmia and myocardial infarction can be seen; these can cause sudden death, especially in athletes and young people. Diagnosis is often made at autopsy.

Conclusion: Here, we present the case of a 39-year-old male with isolated hypoplasia of the left circumflex artery detected by coronary Computed Tomography (CT) angiography who complained of palpitation.

Keywords: Hypoplastic coronary artery, congenital anomalies, left circumflex artery, coronary computed tomography angiography, hypoplasia, myocardial infarction.

[1]
Kapur PR, Jain R, Vashist GP. Congenital absence of left circumflex coronary artery: Role of computed tomography coronary angiography. Hong Kong J Radiol 2014; 17: 1-4.
[2]
Riede NF, Bulla S, Grundmann S, Werner M, Riede UN, Otto C. Isolated hypoplastic circumflex coronary artery: A rare cause of haemorrhagic myocardial infarction in a young athlete. Diagn Pathol 2013; 8: 91.
[3]
Collins KA, McConell E. Sudden unexpected death resulting from an anomalous hypoplastic left coronary artery. J Forensic Sci 1998; 43(3): 708-11.
[4]
De Giorgio F, Grassi VM, Vetrugno G, Arena V. Sudden death in a young female with an under-recognised coronary anomaly. Diagn Pathol 2013; 8: 41.
[5]
Fiss DM. Normal coronary anatomy and anatomic variation. Appl Radiol 2007; 36: 14-26. [Supplement.].
[6]
Mahani MG, Agarwal PP. Coronary Artery Anomalies on CT Angiography. Appl Radiol 2011; 40(6): 18-25.
[7]
Amabile N, Fraisse A, Quilici J. Hypoplastic coronary artery disease: report of one case. Heart 2005; 91(2): 12.
[8]
Dodge JT, Brown BG, Bolson EL, Dodge HT. Lumen diameter of normal human coronary arteries. Influence of age, sex, anatomic variation, and left ventricular hypertrophy or dilation. Circulation 1992; 86(1): 232-46.
[9]
Zhang LR, Xu DS, Liu XC, et al. Coronary artery lumen diameter and bifurcation angle derived from CT coronary angiographic image in healthy people. Zhonghua Xin Xue Guan Bing Za Zhi 2011; 39(12): 1117-23.
[10]
Zugibe FT, Zugibe FT Jr, Costello JT, et al. Hypoplastic coronary artery disease in the spectrum of sudden unexpected death in young and middle age adults. Am J Forensic Med Pathol 1993; 14(4): 276-83.
[11]
Roberts WC, Glick BN. Congenital hypoplasia of both right and left circumflex coronary arteries. Am J Cardiol 1992; 70(1): 121-3.
[12]
Ogden JA. Congenital anomalies of the coronary arteries. Am J Cardiol 1970; 25(4): 474-9.


Rights & PermissionsPrintExport Cite as

Article Details

VOLUME: 15
ISSUE: 4
Year: 2019
Page: [427 - 429]
Pages: 3
DOI: 10.2174/1573405614666180111151623
Price: $65

Article Metrics

PDF: 29
HTML: 4
EPUB: 1
PRC: 1