Direct stenting in single coronary artery arising from the left sinus of Valsalva--a case report

Area of Science:

• Cardiology
• Interventional Cardiology
• Congenital Heart Disease

Background:

• Postinfarction angina necessitates thorough coronary evaluation.
• Anatomical variations in coronary arteries can complicate interventions.
• Congenital anomalies of the coronary arteries are uncommon but clinically significant.

Observation:

• A patient presented with postinfarction angina.
• Coronary angiography revealed severe atherosclerotic coronary disease.
• A rare anatomical variation, a single coronary artery originating from the left sinus of Valsalva, was identified.

Findings:

• The patient had both severe coronary artery disease and a single coronary artery anomaly.
• Direct coronary stent deployment without predilation was utilized for treatment.
• This approach was effective in managing the diseased artery in the context of the anomaly.

Implications:

• This case highlights the importance of recognizing rare coronary anomalies during angiography.
• Direct stenting without predilation may be a viable strategy for treating coronary artery disease in patients with single coronary artery anomalies.
• Further research into interventional techniques for complex coronary anatomy is warranted.