Congenital absence of the left circumflex artery

Main Article Content

Dr. Nirav Ramesh Thaker
Rasika Rajanikant Gosavi
Sunila Jaggi
Inder Raj Talwar

Abstract

Congenital absence of the left circumflex artery is a rare coronary anomaly with few reported cases in literature. These patients are usually diagnosed incidentally when they undergo either a conventional or a computed tomography (CT) coronary angiography to rule out an underlying coronary artery disease. Coronary CT angiography is a useful noninvasive imaging modality which can be used to diagnose and confirm coronary anomalies reliably. In this article, we report a case of a 55-year-old female who was incidentally found to have a congenitally absent left circumflex artery after a workup was initiated for nonspecific chest pain.

Downloads

Download data is not yet available.

Article Details

Section

Case Report

How to Cite

Thaker, N. R., Gosavi, R. R., Jaggi, S., & Talwar, I. R. (2025). Congenital absence of the left circumflex artery. West African Journal of Radiology, 27(2), 163-165. https://doi.org/10.4103/wajr.wajr_34_19

References

1. Namgung J, Kim JA. The prevalence of coronary anomalies in a single center of Korea: Origination, course, and termination anomalies of

aberrant coronary arteries detected by ECG‑gated cardiac MDCT. BMC Cardiovasc Disord 2014;14:48.

2. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990; 21:28‑40.

3. Varela D, Teleb M, Said S, Fan J, Mukherjee D, Abbas A. Congenital absence of left circumflex presenting after an emotional stressor. Pol J Radiol 2015;80:529‑31.

4. Srinivasan KG, Gaikwad A, Kannan BR, Ritesh K, Ushanandini KP. Congenital coronary artery anomalies: Diagnosis with 64 slice multidetector row computed tomography coronary angiography: A single‑centre study. J Med Imaging Radiat Oncol 2008;52:148‑54.

5. Villa AD, Sammut E, Nair A, Rajani R, Bonamini R, Chiribiri A. Coronary artery anomalies overview: The normal and the abnormal. World J Radiol 2016;8:537‑55.

6. Hongsakul K, Suwannanon R. Congenital absence of left circumflex artery detected by computed tomography coronary angiography: A case

report. Case Rep Vasc Med 2012;2012:204657.

7. Ghadri JR, Kazakauskaite E, Braunschweig S, Burger IA, Frank M, Fiechter M, et al. Congenital coronary anomalies detected by coronary

computed tomography compared to invasive coronary angiography. BMC Cardiovasc Disord 2014;14:81.

8. Bluemke DA, Achenbach S, Budoff M, Gerber TC, Gersh B, Hillis LD, et al. Noninvasive coronary artery imaging: Magnetic resonance angiography and multidetector computed tomography angiography: A scientific statement from the american heart association committee on cardiovascular imaging and intervention of the council on cardiovascular radiology and intervention, and the councils on clinical cardiology and cardiovascular disease in the young. Circulation 2008;118:586‑606.

9. Shi H, Ascho AJ, Brambs HJ, Ho‑Mann MK. Multislice CT imaging of anomalous coronary arteries. Europ Radiol 2004;14:2172‑81.

10. Kacmaz F, Ozbulbul NI, Alyan O, Maden O, Demir AD, Balbay Y, et al. Imaging of coronary artery anomalies: The role of multidetector computed tomography. Coron Artery Dis 2008;19:203‑9.

11. Baskurt M, Okcun B, Caglar IM, Ozkan AA, Ersanli M, Gurmen T. Congenital absence of the left circumflex coronary artery and an unusually dominant course of the Right coronary artery. Cardiovascular J Afr 2010;21:286‑8.

12. Ullah S, Khan M, Khan NAJ, Zeb H, Patel R. Absence of left circumflex artery: A rare congenital disorder of coronary arteries. Case Rep Cardiol 2017;2017:440‑44.

Similar Articles

You may also start an advanced similarity search for this article.