Angiographic, electrocardiographic and surgical features of single coronary artery producing myocardial ischaemia
A O Molajo1, U R Nair, K Hearn
1Regional Cardiothoracic Centre, Wythenshase Hospital, Manchester, England.
The Journal of Cardiovascular Surgery
|July 1, 1989
Insights
A rare case of a single coronary artery without stenosis presented with angina and syncope. Surgical bypass grafting successfully treated the patient, resolving symptoms.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Congenital anomalies of the coronary arteries are rare but can lead to significant cardiovascular events.
- A single coronary artery is an uncommon anomaly, and its association with symptoms like angina and syncope requires thorough investigation.
Observation:
- A patient presented with symptoms of angina and syncope.
- Diagnostic workup revealed an unstenosed single coronary artery, a rare anatomical variation.
- Ambulatory electrocardiography, angiography, and stress testing were performed to evaluate the patient's condition.
Findings:
- The patient had an unstenosed single coronary artery.
- Surgical findings confirmed the anatomical anomaly.
- Stress testing before and after bypass grafting demonstrated the effectiveness of the intervention.
Implications:
- This case highlights the importance of considering rare coronary artery anomalies in the differential diagnosis of angina and syncope.
- Surgical revascularization, such as bypass grafting, can be a viable treatment option for symptomatic patients with single coronary artery anomalies.
- Further research into the long-term outcomes of patients with single coronary artery is warranted.
Abstract:
A patient is described in whom an unstenosed single coronary artery was associated with angina and syncope. Full clinical documentation of the patient with ambulatory electrocardiography, angiography, surgical findings and stress testing before and after bypass grafting are described.
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