Origin of all three coronaries separately from right sinus of valsalva - A rare anomaly

Origin of all Three Coronaries from Single Ostium: A Rare Case Report

Origin of coronary arteries from the opposite sinus of Valsalva is rare and origin from a single ostium is extremely rare. Patients with these anomalies may have myocardial ischemia because of altered ostial configuration, exit angulation from the aorta, the course between great arteries, and atherosclerosis. Usually, these anomalies are diagnosed during coronary angiography either by computed tomography or catheter-based. Management depends upon the coronary anomaly and associated clinical condition.

Separate origin of all three coronary arteries from a single sinus of Valsalva

We present a case of a 6-year-old boy with a double outlet right ventricle where the independent origin of all three coronary arteries from a single sinus of Valsalva was incidentally detected on CT angiography. The case highlights the role of CT angiography in identifying coronary arterial anomalies in the setting of complex congenital heart diseases.

An entire coronary system arising from right coronary cusp: a rare anomaly

The prevalence of coronary artery anomalies is approximately 0.6% in individuals undergoing angiography. Most of the anomalies are benign, but some can lead to myocardial infarction, cardiomyopathy, and sudden cardiac death. It is very rare to have an entire coronary circulation that arises from the right coronary cusp. We present a case of a 57-year-old male who presented with complaints of chest pain and dyspnea on exertion. An invasive angiogram revealed all the three coronary arteries originating from the right coronary cusp. It is crucial to define coronary anatomy as anomalies dictate which cardiac intervention should be attempted in cases of ischemia.