Percutaneous coronary intervention in a single coronary artery originating from the right sinus of Valsalva

Area of Science:

• Cardiology
• Congenital Heart Disease
• Interventional Cardiology

Background:

• The left coronary artery (LCA) typically arises from the left sinus of Valsalva.
• Anomalous origin of the LCA from the right sinus of Valsalva is a rare congenital heart defect.
• This anomaly can be associated with significant clinical events, including myocardial infarction and sudden death.

Observation:

• A unique case presented with a single coronary artery arising from the right coronary sinus.
• This single artery then bifurcated into both the left coronary artery (LCA) and the right coronary artery (RCA).

Findings:

• The right coronary artery (RCA) component of this anomalous vessel exhibited a substantial flow-limiting stenosis.
• The stenosis was effectively managed using percutaneous coronary intervention (PCI).

Implications:

• This case underscores the importance of recognizing and managing variations in coronary artery anatomy.
• Timely intervention for obstructive lesions in anomalous coronary arteries is crucial for preventing adverse cardiac outcomes.