Isolated single coronary artery (RII-B type) presenting as an inferior wall myocardial infarction: A rare clinical entity

Autor: Ankur C. Thummar, Charan P. Lanjewar, Milind S. Phadke, Rajiv B. Sharma, Prafulla G. Kerkar
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Indian Heart Journal, Vol 66, Iss 5, Pp 553-554 (2014)
Druh dokumentu: article
ISSN: 0019-4832
DOI: 10.1016/j.ihj.2014.05.021
Popis: Isolated single coronary artery without other congenital cardiac anomalies is very rare among the different variations of anomalous coronary patterns. The prognosis in patients with single coronary varies according to the anatomic distribution and associated coronary atherosclerosis. If the left main coronary artery travels between the aorta and pulmonary arteries, it may be a cause of sudden cardiac death. We present multimodality images of a single coronary artery, in which the whole coronary system originated by a single trunk from the right sinus of Valsalva with inter-arterial course of left main coronary artery. This rare type of single coronary artery was classified as RII-B type according to Lipton's scheme of classification. A significant flow-limiting lesions were found in the right coronary artery that was successfully treated with percutaneous coronary intervention.
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