Document Detail

Single coronary artery; extremely rare coronary anomaly successfully treated surgically in young adult male.
MedLine Citation:
PMID:  20666088     Owner:  NLM     Status:  MEDLINE    
Single coronary artery arising from aortic root, is a rare congenital anomaly. A 30-year-old male presented with acute myocardial infarction (MI) complaining of chest pain and raised troponin levels. Emergency angiography showed no coronary lesions but both left and right coronary arteries arising from single ostium. Patient was operated electively and perioperative findings confirmed the diagnosis of single coronary artery, as left coronary artery after taking origin from right sinus of valsalva runs through the septum, before dividing into left anterior descending and circumflex branches. The single coronary ostium opened with a slit like incision over the course of left main coronary, making the size of ostium three to four times bigger than the native one. In addition left internal mammary artery was harvested and grafted to the left anterior descending branch distally. Patient made successful recovery. Four months follow up dobutamine stress echo showed no inducible ischemia.
A R Shah; M Redmond
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Irish medical journal     Volume:  103     ISSN:  0332-3102     ISO Abbreviation:  Ir Med J     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-07-29     Completed Date:  2010-09-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0430275     Medline TA:  Ir Med J     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  150-1     Citation Subset:  IM    
Department of Cardiothoracic Surgery, Mater Misericordiae University Hospital, Eccles St, Dublin 7.
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MeSH Terms
Coronary Angiography
Coronary Vessel Anomalies / radiography,  surgery*
Diagnosis, Differential
Tomography, X-Ray Computed

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