Anomalous coronary arteries are rare. The origin of the left main coronary artery from the right sinus of Valsalva is related to some events, such as syncope, arrhythmias, angina, among others. By and large, its diagnosis is incidentally made by coronary angiography. The presence of this type of anomaly may hinder percutaneous approach of the coronary lesions. The authors describe a case of left main coronary artery originating from the right sinus of Valsalva, associated to disease of multiple vessels. After discussing the case with the patient and family, the cath lab team performed a successful percutaneous coronary intervention.
Successful treatment of lesions of multiple vessels with anomalous origin from the left coronary artery
Fernandes,Fernando Henrique and França,Victor Eduardo de Almeida e and Borges,Pedro Arthur Ferreira and Araújo,Adriano Gonçalves de and Prudente,Maurício Lopes and Gardenghi,Giulliano. Successful treatment of lesions of multiple vessels with anomalous origin from the left coronary artery. J Transcat Intervent [online]. 2019, vol.27, [cited 2026-03-06], Available from: <https://jotci.org/article/successful-treatment-of-lesions-of-multiple-vessels-with-anomalous-origin-from-the-left-coronary-artery/>. ISSN . http://doi.org/10.31160/JOTCI201927A201822.
Fernandes,Fernando Henrique; França,Victor Eduardo de Almeida e; Borges,Pedro Arthur Ferreira; Araújo,Adriano Gonçalves de; Prudente,Maurício Lopes; Gardenghi,Giulliano. Successful treatment of lesions of multiple vessels with anomalous origin from the left coronary artery. J Transcat Intervent, v.27, Mar. 2019. Available from: <https://jotci.org/article/successful-treatment-of-lesions-of-multiple-vessels-with-anomalous-origin-from-the-left-coronary-artery/>. acess on 06 Mar. 2026. http://doi.org/10.31160/JOTCI201927A201822.
Fernandes,Fernando Henrique, & França,Victor Eduardo de Almeida e, & Borges,Pedro Arthur Ferreira, & Araújo,Adriano Gonçalves de, & Prudente,Maurício Lopes, & Gardenghi,Giulliano. (2019). Successful treatment of lesions of multiple vessels with anomalous origin from the left coronary artery. J Transcat Intervent, 27, http://doi.org/10.31160/JOTCI201927A201822.
FernandesFernando Henrique, FrançaVictor Eduardo de Almeida e, BorgesPedro Arthur Ferreira, AraújoAdriano Gonçalves de, PrudenteMaurício Lopes, GardenghiGiulliano. Successful treatment of lesions of multiple vessels with anomalous origin from the left coronary artery. J Transcat Intervent [Internet]. 2019 Mar [cited 2026 Mar 06]; 27: Available from: https://jotci.org/article/successful-treatment-of-lesions-of-multiple-vessels-with-anomalous-origin-from-the-left-coronary-artery/. http://doi.org/10.31160/JOTCI201927A201822.
Figure 3
Result in anteroposterior (A) and right anterior oblique (B) projections. LMCA: left main coronary artery; LAD: left anterior descending; LCx: circumflex.
