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Absence of Both Right and Left Main Coronary in a COVID Survivor

by 1,2,*, 3 and 4
1
Radiology Department, Tirgu Mures Emergency Institute for Cardiovascular Diseases and Heart Transplant, 540136 Tirgu Mures, Romania
2
ME1 Department, “George Emil Palade”, University of Medicine, Pharmacy, Sciences and Technology of Tirgu Mures, 540142 Tirgu Mures, Romania
3
Cardiology Department, Tirgu Mures Emergency Institute for Cardiovascular Diseases and Heart Transplant, 540136 Tirgu Mures, Romania
4
Radiology Department, Tirgu Mures Emergency Clinical County Hospital, 540136 Tirgu Mures, Romania
*
Author to whom correspondence should be addressed.
Academic Editor: Michael Henein
Diagnostics 2021, 11(7), 1199; https://doi.org/10.3390/diagnostics11071199
Received: 7 June 2021 / Revised: 25 June 2021 / Accepted: 30 June 2021 / Published: 1 July 2021
(This article belongs to the Section Diagnostic Microbiology and Infectious Disease)
The prevalence of isolated right coronary artery (RCA) absence ranges from 0.014% to 0.066% in the general population, but its combination with an absent left main (dual ostium left anterior descending [LAD] and super-dominant left circumflex [LCx]) has not been previously described. We report the case of a rare coronary artery anomaly: an absent RCA with LAD and LCx coronary arteries arising separately from the left coronary sinus. A 53-year-old male with recent COVID-19 infection was referred to our service for coronary computed tomography angiography (CCTA) due to the recent onset of atypical chest pain. The RCA was absent, with no vessel leaving the right or non-coronary sinus. The LAD and LCx emerged from the left coronary sinus, with a “double-barrel” appearance. The LAD was unremarkable, with small, non-stenosed calcified plaque. The LCx had a 3 mm diameter, arching downward in the left atrioventricular groove, passing through the crux cordis, continuing into the right atrioventricular groove, and ending as a left acute artery and sinonodal artery. No significant stenosis was found on any of the vessels, ruling out atherosclerotic coronary disease. View Full-Text
Keywords: coronary CT angiography; coronary anomaly; absent right coronary artery; congenital cardiovascular coronary CT angiography; coronary anomaly; absent right coronary artery; congenital cardiovascular
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MDPI and ACS Style

Pop, M.; Pal, K.; Vaga, D. Absence of Both Right and Left Main Coronary in a COVID Survivor. Diagnostics 2021, 11, 1199. https://doi.org/10.3390/diagnostics11071199

AMA Style

Pop M, Pal K, Vaga D. Absence of Both Right and Left Main Coronary in a COVID Survivor. Diagnostics. 2021; 11(7):1199. https://doi.org/10.3390/diagnostics11071199

Chicago/Turabian Style

Pop, Marian, Krisztina Pal, and Diana Vaga. 2021. "Absence of Both Right and Left Main Coronary in a COVID Survivor" Diagnostics 11, no. 7: 1199. https://doi.org/10.3390/diagnostics11071199

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