Work

Unveiling vieussens' arterial ring: A case report of an uncommon coronary anomaly with obstructive coronary artery disease

Year: 2024

Type: article

Abstract: A 47 years old hypertensive female, without family history of premature coronary artery disease (CAD) was diagnosed with chronic coronary syndrome. When the patient remained symptomatic despite Guideline Directed Medical Therapy (GDMT), coronary angiography (CAG) was done, which revealed obstructive CAD involving LCX and LAD, and Vieussens’ arterial ring connecting proximal RCA with proximal LAD and aneurysm in the left coronary sinus. Due to refractory angina with difficult anatomy, Coronary artery bypass graft was done along with ligation of the VAR artery, to combat competitive flow. While most of the case reports on VAR in literature emphasize on the beneficial effect of VAR in obstructive CAD, the present case demonstrated that despite a hemodynamically significant congenital collateral, VAR was not a saviour in aggressive CAD in a young woman.

Source: IHJ Cardiovascular Reports

DOI: 10.1016/j.ihjcvr.2024.11.002

Authors: Amit Malviya, Diganta Buragohain, Animesh Mishra, Reuben Lamiaki Kynta, Donboklang Lynser

Institution: North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences

Language: English

Topic: Coronary Artery Anomalies

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $400