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Single coronary artery: a case report

R Fiorilli1, G Argento, P Lisanti

  • 1Divisione di Cardiologia Emodinamica, Azienda Ospedaliera San Carlo, Potenza.

Giornale Italiano Di Cardiologia
|October 27, 1998
PubMed
Summary
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A rare single coronary artery anomaly was found in a patient with prior myocardial infarction. Transesophageal echocardiography aided in assessing the anomalous left main coronary artery course.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Anatomical Variations

Background:

  • Coronary artery anomalies are rare congenital conditions that can predispose individuals to myocardial infarction.
  • Single coronary artery is a rare anomaly where both ventricles are supplied by a single artery arising from one sinus of Valsalva.

Observation:

  • A 47-year-old woman with a history of myocardial infarction presented with a right-type single coronary artery.
  • Coronary angiography revealed the anomalous artery originated from the right sinus of Valsalva without obstructive lesions.

Findings:

  • Transesophageal echocardiography (TEE) provided complementary information to coronary angiography.
  • TEE effectively assessed the retroaortic course of the anomalous left main coronary artery.

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Implications:

  • This case highlights the importance of recognizing rare coronary artery anomalies in patients with ischemic heart disease.
  • Transesophageal echocardiography can be a valuable tool in delineating the complex anatomy of anomalous coronary arteries.
  • Understanding these variations is crucial for accurate diagnosis and management of cardiovascular conditions.