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[Single coronary artery]
C Fakiolas1, C Olympios, S Foussas
1Service de cardiologie, hôpital Tzanio, Athènes, Grèce.
Archives Des Maladies Du Coeur Et Des Vaisseaux
|December 1, 1994
Insights
A single coronary artery is a rare heart defect found during angiography. This summary details three new cases, highlighting associated conditions like ventricular septal defects and ischemic heart disease.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Coronary Circulation Abnormalities
Background:
- A single coronary artery (SCA) is a rare congenital anomaly.
- It occurs in approximately 0.09% of individuals.
- SCA is often an incidental finding during coronary angiography.
Observation:
- The authors present three new cases of SCA.
- One case involved a patient with a ventricular septal defect (VSD).
- Another case was associated with ischemic heart disease.
Findings:
- Two of the three patients had positive results on exercise stress testing.
- These findings suggest potential clinical significance of SCA, even when asymptomatic.
- The co-occurrence of SCA with VSD and ischemic heart disease warrants further investigation.
Implications:
- This highlights the importance of recognizing SCA during cardiac evaluations.
- Further research is needed to understand the long-term prognosis and management of SCA.
- Early detection and management may improve outcomes for patients with associated cardiac conditions.
Abstract:
A single coronary artery is a rare abnormality of the coronary circulation (0.09% in the authors' experience), a fortuitous finding on coronary angiography. The authors report three new cases of this abnormality, including one with a ventricular septal defect and another with ischaemic heart disease. Exercise stress testing was positive in two patients.