Successful Ostial Stenting in a Patient with a Single Coronary Artery from the Right Sinus of Valsalva: A Case Report
Single coronary arteries (SCAs) constitute a rare coronary anomaly which is usually asymptomatic. However, SCAs may become symptomatic and even cause myocardial ischemia and infarction and as such necessitate proper intervention whether percutaneous or surgical. We describe an 89-year-old woman with an SCA from the right sinus of Valsalva presenting with chest pain and acute myocardial infarction. We succeeded in performing percutaneous coronary intervention and stenting on the ostial lesion of the SCA, and there were no further complications. The patient was discharged 2 days later with no adverse complications.
Sohrabi B, Habibzadeh A, Abbasov E. The incidence and pattern of coronary artery anomalies in the north-west of Iran: a coronary arteriographic study. Korean Circ J 2012;42:753-760.
McCarthy C, Khider W, Caplice N. Acute STEMI in the setting of a single coronary artery anomaly. BMJ Case Rep 2015;2015. pii: bcr2015210002.
Blaschke F, Krackhardt F, Kherad B, Pieske B, Haverkamp W, Rief M. A Rare Case of Single Coronary Artery with Atherosclerotic Lesions Arising from the Right Sinus of Valsalva. N Am J Med Sci 2016;8:114-116.
Lipton MJ, Barry WH, Obrez I, Silverman JF, Wexler L. Isolated single coronary artery: diagnosis, angiographic classification, and clinical significance. Radiology 1979;130:39-47.
Dai J, Katoh O, Kyo E, Zhou XJ, Tsuji T, Watanabe S, Ohya H. Percutaneous intervention in a patient with a single coronary artery arising from the right coronary sinus of valsalva. Hellenic J Cardiol 2014;55:427-432.
Vural A, Aksoy H, Karagöz A, Dindar B. Successful primary coronary angioplasty for acute inferior myocardial infarction in a patient with RII-type single coronary artery. BMJ Case Rep 2015;2015. pii: bcr2014208325.
|Issue||Vol 13 No 3 (2018): J Teh Univ Heart Ctr|
|Coronary vessels Congenital abnormalities Coronary angiography Percutaneous coronary intervention|
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