Myocardial infarction in a patient with single coronary artery - rare but real. Issue 5 (May 2021)

• Record Type: Journal Article
• Authors: Al Ghorani, Hussam; Schwarz, Viktoria; Vukadinovic, Davor; Fries, Peter; Scheller, Bruno; Mahfoud, Felix
• Is Part Of: Journal of cardiology cases. Volume 23:Issue 5(2021)
• Page Start: 246
• Page End: 249
• Publication Date: 2021-05
• Subjects: Single coronary artery -- Coronary anomaly -- Percutaneous coronary intervention -- Coronary computed tomography angiography; Cardiology -- Periodicals; Cardiovascular Diseases -- Case Reports; Cardiovascular Diseases -- Periodicals; Cardiology -- Case Reports; Cardiology -- Periodicals; Cardiology; Electronic journals; Periodicals; 616.12
• DOI: 10.1016/j.jccase.2020.11.020
• Languages: English
• ISSNs: 1878-5409

Abstract

Abstract: A 53-year-old woman was referred to our hospital with acute coronary syndrome. The coronary angiography demonstrated a single coronary artery. Culprit lesion was a subtotal occlusion of the proximal left anterior descending coronary artery, which was recanalized and treated with drug-coated balloon angioplasty. The patient recovered quickly after the procedure. A coronary computed tomography angiography visualized the left main coronary artery, which was passing between the ascending aorta and the pulmonary trunk and categorized this anomaly as R-II-B according to Lipton's classification, representing an extremely rare coronary anomaly. <Learning objective: ST-segment elevation myocardial infarction can present with atypical electrocardiographic manifestations. Percutaneous coronary intervention with drug-coated balloon may be considered in patients with relevant coronary stenosis in an anomalous coronary artery.>