Coronary-intercostal steal syndrome, a rare connection between the left circumflex coronary artery and intercostal arteries: A case report

Main Article Content

Mohammed H Habib
Khaled H Alkhodari*

Abstract

A 60-year-old female patient presented with typical anginal pain on exertion and relieved by rest for about one month. Percutaneous coronary angiography was done and showed an abnormal left circumflex coronary artery connecting to intercostal artery. Embolization of that abnormal connection was done successfully and the patient discharged from hospital after 24 hours. This case shows a new form of coronary steal syndrome. This cause could be missed if not put under the differential diagnosis of typical anginal pain with normal coronary arteries.

Article Details

Habib, M. H., & Alkhodari, K. H. (2020). Coronary-intercostal steal syndrome, a rare connection between the left circumflex coronary artery and intercostal arteries: A case report. Journal of Cardiology and Cardiovascular Medicine, 5(1), 011–013. https://doi.org/10.29328/journal.jccm.1001078
Case Reports

Copyright (c) 2020 Habib MH, et al.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Angelini P, Velasco JA, Flamm S. Coronary anomalies: Incidence, pathophysiology, and clinical relevance. Circulation. 2002; 105: 2449-2454. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/12021235

Koşar P, Ergun E, Öztürk C, Koşar U. Anatomic variations and anomalies of the coronary arteries: 64-slice CT angiographic appearance. Diagn Interv Radiol. 2009; 15: 275-283. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19957241

Thygesen K, Alpert JS, Jaffe AS, Chaitman BR. Fourth universal definition of myocardial infarction (2018). Eur Heart J. 2019; 72: 237–269.

Alexander RW, Griffith GC. Anomalies of the Coronary Arteries and their Clinical Significance. Circulation. 1956; 14: 800-805. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/13374855

Graidis C, Dimitriadis D, Karasavvidis V, Dimitriadis G, Argyropoulou E, et al. Prevalence and characteristics of coronary artery anomalies in an adult population undergoing multidetector-row computed tomography for the evaluation of coronary artery disease. BMC Cardiovasc Disord. 2015; 15: 1-10. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/26431696

Silvia A, Baptista MJ, Araújo E. Cardiologia Congenital coronary artery anomalies. Port J Cardiol. 2018; 37: 341–350.

Kastellanos S, Aznaouridis K, Vlachopoulos C, Tsiamis E, Oikonomou E, et al. Overview of coronary artery variants, aberrations and anomalies. World J Cardiol. 2018; 10: 127–140. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/30386490

Wyeth RP, Arben S. Variant aortic sinusal origin of the left circumflex coronary artery. Int J Anat Var. 2014; 7: 109–111.

Heusch G. Myocardial Ischemia: Lack of Coronary Blood Flow or Myocardial Oxygen Supply/Demand Imbalance? Circ Res. 2016; 119: 194–196. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/27390331

Mihatov N, Januzzi JLJ, Gaggin HK. Type 2 myocardial infarction due to supply-demand mismatch. Trends Cardiovasc Med. 2017; 27: 408–417. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/28438399

Stout KK, Daniels CJ, Aboulhosn JA, Bozkurt B, Broberg CS, et al. 2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2019; 73: e81–e192. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/30121239