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A Patient With Single Coronary Artery and Pectus Excavatum Presenting With Non-ST Elevation Myocardial Infarction
Vsevolod Tabachnikov1, Amir Aker1, Ibrahim Naoum1
1Cardiology, Carmel Medical Center, Haifa, ISR.
Abstract:
We report the case of a 51-year-old male with pectus excavatum (PEX) who presented with stress-related chest pain as a symptom of acute non-ST elevation myocardial infarction. Coronary angiography (CAG) revealed a suspected single coronary artery (SCA) anatomy with diffuse atherosclerotic narrowing, without evidence of other coronary ostia in the aortic root. The diagnosis was confirmed on cardiac computed tomography (CCTA) as the SCA of the R-I type by Lipton classification. The percutaneous coronary intervention was performed with good angiographic results and resolution of symptoms.
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