You are here

Home » Content

SENKOP ATAKLARIYLA SEYREDEN KORONER ARTER ANOMALİLİ BİR OLGU

A case of coronary artery anomaly presenting with syncope attacks

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2000

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Among the congenital coronary artery anomalies, anomalous origin of circumflex artery from right coronary sinus is the most common one and have a good prognosis. The patient was admitted to the hospital with the complaint of syncope episodes. His electrocardiogram showed ventricular tachycardia. The patient had been suffering from exercise induced syncope attacks for three years. Family history of the patient revealed three sudden cardiac deaths. One of them, his brother, had nonobstructive coronary artery anomaly and syncope episodes. Near syncope and ventricular tachycardia were observed during exercise stress testing. The patient underwent coronary angiography and anomalous origin of circumflex artery from right coronary sinus was detected. In conclusion, although anomalous origin of circumflex artery from right coronary sinus has a benign clinical course, it may be associated with ventricular tachycardia and syncope.
Bookmark/Search this post with
Abstract (Original Language): 
Sirkumfleks arterin sağ aort/k sinüsten çıkması (SSÇ) koroner çıkış anomalileri arasında en sık görülenidir ve genellikle iyi seyirlidir. Sen kop nedeniyle acil servisimize getirilen ve EKG'sinde ventriküler taşikardi (VT) saptadığımız hastamız üç yıldır eforla gelişen senkop atakları tarifliyordu. Babası ve amcasını ani kardiyak ölüm nedeniyle kaybeti. Erkek kardeşinde de senkop atakları olduğu ve bu nedenle yapılan koroner anjiyografide tıkayıcı darlık saptanmaksızın koroner anomali saptandığı ve 38 yaşında aniden öldüğü ifade edildi. Hastada senkop ataklarının nedenine yönelik olarak yapılan incelemelerde VT dışında bir faktör saptanmadı. Efor testi sırasında VT ve presenkop gelişti. Yapılan koroner anjiyografide tıkayıcı lezyon olmaksızın SSÇ saptandı. Tüm bu bulgularla hastamızda senkop nedeni olarak VT, VT nedeni olarak ta SSÇ sorumlu tutuldu. Sonuç olarak SSÇ iyi seyir/i bir anomali olmakla beraber bazen olgumuzda olduğu gibi VT ve senkop ataklarıyla seyredebilir.
FULL TEXT (PDF): 
PDF icon arastirmax-senkop-ataklariyla-seyreden-koroner-arter-anomalili-bir-olgu.pdf
  • 2
167-169
  • Turkish

REFERENCES

References: 

1. Jureidini SB, Marino CJ, Rao PS. Congenital coronary artery abnormalities. Indian J Pediatr 1998; 65: 217-29.
2. Ueyama K, Ramehandani M, Beall AC et al. Diagnosis and operation for anomalous circumflex coronary artery. Ann Thorac Surg 1997; 63: 377-81.
3. Rowe L, Carmody TJ and Askenazi J. Anomalous origin of the left circumflex coronary artery from the right aortic sinus: A familial clustering . Cathet Cardiovasc Diagn 1993; 29: 277-8.
4. Yamanako O, Hobbs RE: Coronary artery anomalies in 126.595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1991; 21: 24-28.
5. Patterson FK: Sudden death in young adult with anomalous origin of the posterior circumflex artery. South Med J 1982; 75: 748-51.
6. Molajo AO, Bray CL, Prescott MC et al. Thallium 201 myocardial imaging in patients with angina pectoris and anomalous aortic origin of the circumflex coronary artery. Int J Cardiol 1988; 8: 371-381.
7. Basso C, Maron BJ, Corrado D et al. Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competetive athlets. J Am Coll Cardiol 2000; 35: 1493-501.
8. Sharma B, Francis G, Hodges M et al. Demonstratin of exercise-induced ischemia without angina in patients who recover from out-of-hospital ventricular fibrillation. Am J Cardiol 1981; 47: 445-49.
9. Maron BJ, Epstein SE and Roberts WC. Causes of sudden death in competetive athlets. J Am Coll Cardiol 1986; 7:204-6.

Thank you for copying data from http://www.arastirmax.com