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Updated: Nov 5, 2025

Myocardial Infarction and Functional Outcome Assessment in Pigs
Published on: April 25, 2014
Myocardial infarction in a patient with single coronary artery - rare but real
Hussam Al Ghorani1, Viktoria Schwarz1, Davor Vukadinovic1
1Clinic for Internal Medicine III (Cardiology, Angiology, and Intensive Care Medicine), Saarland University Hospital, Kirrberger Str. 100, Gebäude 41, 66421 Homburg, Saar, Germany.
Insights
A rare single coronary artery anomaly caused acute coronary syndrome in a 53-year-old woman. Treatment with drug-coated balloon angioplasty led to a quick recovery, highlighting intervention options for anomalous coronary arteries.
Area of Science:
- Cardiology
- Interventional Cardiology
- Congenital Heart Disease
Background:
- Acute coronary syndrome (ACS) can arise from rare coronary artery anomalies.
- A single coronary artery is an exceptionally uncommon congenital abnormality.
Abstract:
A 53-year-old woman was referred to our hospital with acute coronary syndrome. The coronary angiography demonstrated a single coronary artery. Culprit lesion was a subtotal occlusion of the proximal left anterior descending coronary artery, which was recanalized and treated with drug-coated balloon angioplasty. The patient recovered quickly after the procedure. A coronary computed tomography angiography visualized the left main coronary artery, which was passing between the ascending aorta and the pulmonary trunk and categorized this anomaly as R-II-B according to Lipton's classification, representing an extremely rare coronary anomaly. <Learning objective: ST-segment elevation myocardial infarction can present with atypical electrocardiographic manifestations. Percutaneous coronary intervention with drug-coated balloon may be considered in patients with relevant coronary stenosis in an anomalous coronary artery.>.
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