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Rarities in the catheterization Lab. A strange type of single coronary artery
G L Rigatelli1, G Franco, M Gemelli
1Department of Cardiovascular Disease, Interventional Cardiology Lab, Legnago General Hospital, Legnago (VR), Italy.
Insights
A rare single coronary artery anomaly was found in a woman with chest pain. This specific case presented unique anatomical features challenging standard classification systems.
Area of Science:
- Cardiology
- Anatomical Pathology
Background:
- Single coronary artery is a rare congenital anomaly.
- It is associated with potential cardiovascular risks.
Observation:
- A 71-year-old woman presented with atypical chest pain and moderate arterial hypertension.
- Imaging revealed a unique single coronary artery with a hypoplastic circumflex artery.
Findings:
- The observed coronary anomaly did not fit neatly into existing classification systems, such as Lipton R-II.
- Detailed anatomical description and classification challenges are presented.
Implications:
- This case highlights the complexity and variability of single coronary artery anomalies.
- Accurate classification is crucial for risk assessment and management of these rare conditions.
Abstract:
The single coronary artery, a rare but well described coronary artery anomaly, is considered potentially dangerous. A case of a 71-year old woman, suffering from a moderate arterial hypertension and frequent episodes of atypical chest pain is described. The woman was found to have a strange type of single coronary with hypoplastic circumflex coronary artery, difficulty classifiable as a Lipton R-II A single coronary artery. The anatomical features and classification criteria of the case are also described.