Left Anterior Descending Artery to Right Coronary Artery Bifurcation Stenting with Culotte Technique in Acute...

Area of Science:

• Cardiology
• Interventional Cardiology
• Congenital Heart Disease

Background:

• Coronary artery anomalies are uncommon congenital conditions affecting coronary artery origin, course, or termination.
• While often asymptomatic, certain anomalies increase the risk of serious cardiac events like myocardial infarction and sudden cardiac death.
• Single coronary artery anomalies are exceptionally rare, characterized by a single artery supplying the entire heart.

Purpose of the Study:

• To describe a very rare case of a single coronary artery anomaly.
• To detail the clinical presentation and management of this anomaly.
• To highlight the successful treatment of an associated acute myocardial infarction.

Main Methods:

• Case report of a patient with an unusual single coronary artery anomaly.
• Diagnostic workup including coronary angiography.
• Percutaneous coronary intervention using the Culotte technique for LAD/RCA bifurcation stenting.

Main Results:

• The patient presented with acute inferior myocardial infarction.
• A rare single coronary artery anomaly was diagnosed, with the right coronary artery originating from the left anterior descending artery.
• Successful LAD/RCA bifurcation stenting was performed using the Culotte technique.

Conclusions:

• This case highlights an extremely rare single coronary artery anomaly.
• Prompt diagnosis and intervention are crucial for managing associated acute myocardial infarction.
• Percutaneous coronary intervention can be a viable treatment option for complex coronary artery anomalies.