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

Area of Science:

• Cardiology
• Anatomical Variations
• Interventional Cardiology

Background:

• Congenital coronary artery anomalies are rare but can lead to significant cardiovascular events.
• A single coronary artery arising from the ascending aorta is an exceptionally uncommon variation.

Observation:

• A 45-year-old male presented with acute anterior wall myocardial infarction.
• Coronary angiography revealed a single coronary trunk originating from the ascending aorta, supplying all three major coronary arteries.
• Critical stenosis was identified in the left anterior descending artery.

Findings:

• The patient had an anomalous origin of a single coronary trunk from the ascending aorta, a previously unreported variation.
• Percutaneous coronary intervention (PCI) was technically feasible and successfully performed in this anomalous coronary artery system.

Implications:

• This case demonstrates the possibility of successfully treating complex coronary artery disease in the setting of rare anatomical variations.
• Understanding and addressing the technical challenges associated with PCI in single coronary artery anomalies is crucial for patient outcomes.
• Highlights the importance of detailed pre-procedural imaging and tailored interventional strategies for rare coronary anomalies.