Top

Cardiovascular Intervention and Therapeutics

Published in:

01-07-2016 | Case Report

Primary percutaneous coronary intervention in an anomalous single coronary trunk arising anomalously from ascending aorta

Authors: Mohit D. Gupta, M. P. Girish, Ankit Bansal, Vivek Chaturvedi, Vijay Trehan, Sanjay Tyagi

Published in: Cardiovascular Intervention and Therapeutics | Issue 3/2016

Abstract

A 45-year-old male patient presented with acute anterior wall myocardial infarction. Angiography revealed a single coronary trunk arising from the ascending aorta above the coronary sinuses and giving rise to right coronary artery, left circumflex artery and critical stenosis in the left anterior descending artery. This report also highlights the feasibility of performing percutaneous coronary intervention (PCI) in this rare anomaly and discusses the important technical considerations to be kept in mind while attempting such a case. This is the first report of such an anomalous origin of a single coronary trunk arising from ascending aorta.

Available only for authorised users

Baltaxe HA, Wixson D. The incidence of congenital anomalies of coronary arteries in the adult population. Radiology. 1977;122:47–52.CrossRefPubMed

Click RL, Holmes DR Jr, Vilestra RE, Kosinski AS, Kronmal RA. Anomalous coronary arteries: location, degree of atherosclerosis and effect on survival: a report from the coronary artery study. J Am Coll Cardiol. 1989;13:531–7.CrossRefPubMed

Angelini P. Coronary artery anomalies an entity in search of an identity. Circulation. 2007;115:1296–305.PubMed

Goldstein PR, Pittman DE, Gay TC, Brandt CS. Anomalous origin of the right coronary artery from the ascending aorta: case history. Angiology. 1990;41:164–6.CrossRefPubMed

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

Purvis M, Dunphy T. Anomalous origin of the left main coronary artery from the ascending aorta. J Invasive Cardiol. 2008;20:681–2.PubMed

Ilia R, Gueron M. Anomalous origin of the left main coronary artery from the ascending aorta above the “non-facing” sinus of Valsalva. Int J Cardiol. 1992;35:262–3.CrossRefPubMed

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.CrossRefPubMed

Shirani J, Roberts WC. Solitary coronary ostium in aorta in the absence of major congenital cardiovascular anomalies. J Am Coll Cardiol. 1993;21:137–43.CrossRefPubMed

10.

Frescura C, Basso C, Thiene G, Corrado D, Pennelli T, Angelini A, Daliento L. Anomalous origin of coronary arteries and risk of sudden death: a study based on an autopsy population of congenital heart disease. Hum Pathol. 1998;29:689–95.CrossRefPubMed

11.

Kelley MJ, Wolfson S, Marshall R. Single coronary artery from the right sinus of Valsalva: angiography, anatomy and clinical significance. Am J Roentgenol. 1977;128:257–62.CrossRef

12.

Kastanis P, Marti V, Gotsanayidou M. Anomalous left coronary artery arising from the right sinus of valsalva causing angina pectoris. J Cardiovasc Med. 2009;10:574–5.CrossRef

13.

Gallagher SM, Jain AK, Archbold RA. Primary percutaneous coronary intervention for ST-elevation myocardial infarction in a patient with a single coronary artery arising from the right aortic sinus. J Invasive Cardiol. 2011;23:E61–2.PubMed

Title: Primary percutaneous coronary intervention in an anomalous single coronary trunk arising anomalously from ascending aorta
Authors: Mohit D. Gupta
M. P. Girish
Ankit Bansal
Vivek Chaturvedi
Vijay Trehan
Sanjay Tyagi
Publication date: 01-07-2016
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 3/2016
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-015-0343-3

2024 ASCO Annual Meeting

Springer Medicine

Primary percutaneous coronary intervention in an anomalous single coronary trunk arising anomalously from ascending aorta

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2016

Chronic total occlusion treated with coronary intervention by three-dimensional guidewire manipulation: an experimental study and clinical experience

Renovascular heart failure: heart failure in patients with atherosclerotic renal artery disease

A case of coronary rupture and pseudoaneurysm formation after fracture of implanted paclitaxel-eluting stents

One-year outcome of a prospective trial stopping dual antiplatelet therapy at 3 months after everolimus-eluting cobalt-chromium stent implantation: ShortT and OPtimal duration of Dual AntiPlatelet Therapy after everolimus-eluting cobalt-chromium stent (STOPDAPT) trial

The clinical characteristics and prognosis of lesions with in-stent eccentric tissue proliferation and strong signal attenuation detected by optical coherence tomography

FFR and iFR guided percutaneous coronary intervention