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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
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Percutaneous coronary intervention in a patient with single coronary artery

T K Mishra1, C K Mishra2, B Das2

  • 1Professor & HOD, Department of Cardiology, S C B Medical College, Cuttack, Odisha, India.

Indian Heart Journal
|June 30, 2014
PubMed

Insights

Single coronary artery anomaly, a rare condition, presents unique challenges for percutaneous coronary intervention. This case report details a successful angioplasty for myocardial infarction in a patient with this anomaly.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Congenital Heart Disease

Background:

  • Coronary artery anomalies affect 1-5% of angiograms.
  • Single coronary artery (SCA) is a rare congenital anomaly with a prevalence of 0.024-0.066% in the general population.
  • Percutaneous coronary intervention (PCI) in SCA is infrequent, with a higher incidence reported in India.

Observation:

  • A 55-year-old male presented with anterior wall ST-elevation myocardial infarction.
  • The patient had an L1 group single coronary artery.
  • He underwent successful angioplasty and stenting of the left anterior descending artery.

Findings:

  • Successful PCI was achieved in a patient with a single coronary artery anomaly.
  • The case highlights the feasibility of interventional procedures in SCA.
  • Specific anatomical considerations for SCA PCI were addressed.

Implications:

  • This case underscores the importance of recognizing and managing SCA during PCI.
  • It provides insights into the unique risks and technical aspects of treating myocardial infarction in SCA patients.
  • Further research into optimal PCI strategies for SCA is warranted.

Keywords:
Myocardial infarctionPercutaneous coronary interventionSingle coronary artery

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