I am a cardiologist from Berlin, Germany. I have a female patient with mysterious symptoms. She became seriously ill at age 16 and complaints of heart problems. The female patient with childhood lagging behind in physical development. With 11 years of she has supraventricular tachycardia. She has a myocardial bridging of the mid and distal LAD and possibly variant angina. I suspect that the patient has a coronary artery crossing, but not sure. In our country, there were no such cases. I ask you to help, if possible.
Do you experience a the crossing of the coronary arteries? Or maybe you heard about such cases?
I know that crossing is not a normal variant. I talked to two experts who had patients with similar cases, but there is no clarity.
My questions: Necessarily if there is whether the crossing branch of the left coronary artery( LAD and LCx)(or major branches of the coronary arteries) should have separate origins? For example, should the LAD and LCx necessarily have a separate origin from the left aortic sinus? Or LAD artery must necessarily come from the left aortic sinus and LCX from the right aortic sinus? Must necessarily LCx crossed inferior to the LAD artery? Does the LCx arises from a more anterior location relative to the LAD artery?
Could the patient be left behind in physical development because of myocardial bridging?
No Cardiologists on this forum, but have you considered ct tomography to see the exact anatomy of the arteries concerned? This is how one case in new york achieved a clearer understanding of the anatomy and enabled the correct procedural decisions. A very rare situation indeed.
Thank you for your response. I agree that the situation is extremely rare. The patient, alas, does not live in the United States. I already asked for the advice of an Israeli colleague to pediatric cardiology. Yet we think.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.