ÖZET

Yapılan anjiyografik çalışmalarda koroner arter anomalileri tüm hastaların yaklaşık %1'inde tespit edilmiştir. En yaygın anomali sirkumfleks koroner arterin anormal orijini ile ilgili olanlardır. Bununla birlikte bu hastalarda beraberinde koroner ateroskleroz bulunabilir. Sağ aortik sinüsten çıkan sirkumfleks koroner arteri ile birlikte insidental olarak kardiyak anormallikler de bulunabilir. Biz anomali olarak sağ aortik sinüsten doğan sirkumfleks koroner artere sahip iki hastayı rapor ettik. Beraberinde ilk hastada dual sol ön inen koroner arter ve koroner ateroskleroz, ikinci hastada koroner ektazi ve dual sol ön inen koroner arter bulunmaktaydı.
Anahtar Kelimeler: Koroner arter anomalileri, Anormal orjin, Koroner ateroskleroz ve dual LAD

Abnormality in the Origin of Coronary Artery:
Double Circumflex Coronary Artery Arising From the Left and Right Aortic Sinus

SUMMARY

All coronary artery anomalies present in %1 of the patients who have undergone angiography. The most frequent coronary artery anomaly is of circumflex coronary artery with abnormal origin. Beyond this coronary atherosclerosis may exist at these abnormal coronary arteries in these patients at the same time. There may be co-incidental cardiac abnormalities with circumflex coronary artery that arise from right aortic sinus. We report two patients in whose the circumflex coronary artery arose anomalously from the right aortic sinus. First patient had dual left anterior descending coronary artery and coronary atherosclerosis, and second patient had coronary ectasia and dual left anterior descending coronary artery.
Key Words: Coronary artery anomalies, Abnormal origin, Coronary atherosclerosis and dual LAD