Anomalous Coronary Origins
Click below to access your content. Note you must complete both the course content and the evaluation survey in order to claim your certificate. When you have completed the course content, please return to this page and click on the Claim Survey link below to access your certificate. Once you have successfully completed this course your certificate will become available at the top of this page and on your My Certificates page.
Course Details
Credit/contact hours: .5
Estimated time to complete: 30 minutes
Publication Date: July 11, 2018
Expiration date: July 10, 2024
Reviewed: July 9, 2021
Description:
In this case, a patient presents for pre-operative evaluation prior to a neuro-surgical spinal operation. He has a history of coronary heart disease and a known anomaly of the left coronary artery from the right coronary artery. Our patient underwent non-invasive PET perfusion imaging and coronary angiography. There was a discussion of the risk of coronary anomalies and potential strategies to mitigate that risk. Of interest, most patients with an anomalous left coronary artery have the left main arising from the right coronary cusp. In this patient, the LAD and circumflex arteries have separate ostia and separate courses – an unusual finding.
You Will Learn
- To describe the three courses that are typical of an anomalous left coronary artery.
- To use coronary angiography to determine the course of an anomalous left coronary artery arising from the right coronary artery.
- To estimate the patient risk based on each of the potential anomalous courses of the left coronary artery.
- To describe the implication of an anomalous left anterior descending artery when the circumflex has a benign posterior course.