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Dual-artery stenting of a type III single coronary artery from right aortic sinus

Shivanad Patil1, Jayashree Kharge1, Rangaraj Ramlingam1

  • 1Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India.

Indian Heart Journal
|March 21, 2016
PubMed

Insights

A rare single coronary artery anomaly with stenosis in the left circumflex (LCx) and right coronary artery (RCA) was successfully treated with stenting. This case highlights effective management of complex coronary artery disease.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Anatomical Variations

Background:

  • Congenital coronary artery anomalies are rare, with single coronary artery (SCA) being a significant finding.
  • Classifications by Lipton, Yamanaka, and Hobbs aid in understanding SCA variations.
  • SCA anomalies can present with complex pathologies, including significant stenosis.

Observation:

  • A patient presented with a rare single coronary artery anomaly.
  • This anomaly gave rise to the left anterior descending (LAD), left circumflex (LCx), and right coronary artery (RCA).
  • Significant stenosis was observed: 80% at the LCx ostium, 80% in the mid-RCA, and 70% in the distal RCA.

Findings:

  • The case involved a single coronary artery anomaly with three major branches.
  • Multiple stenotic segments were identified within these branches.
  • Successful percutaneous coronary intervention (PCI) with stenting was performed on all three stenotic lesions.

Implications:

  • This case demonstrates the feasibility of endovascular treatment for complex stenotic lesions in SCA.
  • Successful stenting in such anomalies can restore adequate coronary blood flow.
  • Further research into the long-term outcomes of PCI in SCA anomalies is warranted.

Keywords:
Dual artery stentingSingle coronary arteryType III

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