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Case report of mitral valve replacement in a single coronary artery patient: devil is hidden in the details

Vasilios Koutroulos1, Georgios Chalikias1, Dimitrios Stakos1

  • 1Department of Cardiology, University Hospital of Alexandroupolis, Medical School, Democritus University of Thrace, Dragana, Alexandroupolis 68100, Greece.

European Heart Journal. Case Reports
|March 9, 2026
PubMed

Insights

Single coronary artery (SCA) is a rare congenital anomaly. A 75-year-old patient with SCA experienced cardiogenic shock post-surgery, requiring percutaneous revascularization for iatrogenic left main coronary artery occlusion.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Cardiac Surgery

Background:

  • Single coronary artery (SCA) is a rare congenital anomaly with potential for serious clinical consequences.
  • While often asymptomatic, SCA can present significant challenges in various clinical scenarios.
Abstract

Keywords:
Case reportIatrogenicOcclusionSingle coronary artery

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