Silva Pukšić

Anomalous origin of the left coronary artery from the right sinus of Valsalva in a 62-year-old woman with unstable angina pectoris: A case report

Anomalous origin of the left coronary artery from the right sinus of Valsalva is a rare congenital coronary anomaly. We report a case of a 62-year-old woman with a history of hypertension, diabetes type 2 and hypercholesterolemia who was admitted to the local hospital because of unstable angina pectoris. Coronary angiography was performed revealing the anomalous left main coronary artery arising from a single ostium in the right sinus of Valsalva together with the right coronary artery which showed a 90% proximal stenosis. The patient was referred to our hospital for further management. Multislice computed tomography (MSCT) coronary angiography confirmed these findings and determined coursing of the anomalous left coronary artery anterior to the pulmonary trunk. The proximal RCA lesion was successfully treated with direct stenting. She is asymptomatic on clinical follow-up at 18 months.

Pulmonary valve papillary fibroelastoma diagnosed by echocardiography: a case report

Papillary fibroelastomas (PFEs) are rare cardiac valve tumours with reported incidence of <0.03% according to autopsy studies. Among them, pulmonary valve PFEs are extremely rare. With wider use of echocardiography, they are being increasingly recognized premortem. We describe a case of a 32-year-old Caucasian woman with PFE of pulmonic valve diagnosed by echocardiography. The patient underwent surgery due to high mobility of the tumour and high risk of embolic complications. The surgery was done with complete tumour resection and total preservation of valve function. This case report discusses diagnostics of PFEs, their characteristic echocardiographic and histological features, and possible complications and suggests treatment options in this rare cardiac tumour.