Percutaneous coronary intervention in a rare variety of single coronary artery
We present a case of 50-year-old male having unstable angina. A rare type of single coronary artery was identified during the Coronary angiogram. The left anterior descending (LAD) and left circumflex artery (LCX) had originated from the proximal segment of right coronary artery along with significa...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2015-12-01
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| Series: | Indian Heart Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0019483215002588 |
| _version_ | 1818732851864010752 |
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| author | Srinivas C. Budanur Yadvinder Singh Vinoth K. Vilvanathan Babu T. Reddy Nagesh C. Mahadevappa Manjunath C. Nanjappa |
| author_facet | Srinivas C. Budanur Yadvinder Singh Vinoth K. Vilvanathan Babu T. Reddy Nagesh C. Mahadevappa Manjunath C. Nanjappa |
| author_sort | Srinivas C. Budanur |
| collection | DOAJ |
| description | We present a case of 50-year-old male having unstable angina. A rare type of single coronary artery was identified during the Coronary angiogram. The left anterior descending (LAD) and left circumflex artery (LCX) had originated from the proximal segment of right coronary artery along with significant lesion in LCX. Computed tomographic (CT) coronary angiogram confirmed the origin and course following which successful percutaneous coronary intervention (PCI) was done to LCX. The incidence of this type of coronary anomaly is 0.004%. We emphasize the importance of having a CT coronary angiogram to identify the course before the intervention. The procedural risk during PCI in patients with single coronary ostium is high. Moreover, the angulation and course of the culprit artery also pose a challenge. Good coaxial guide support by using an appropriate guiding catheter is the key to success. |
| first_indexed | 2024-12-17T23:40:09Z |
| format | Article |
| id | doaj.art-3870750a68874625aa01d6599618db3a |
| institution | Directory Open Access Journal |
| issn | 0019-4832 |
| language | English |
| last_indexed | 2024-12-17T23:40:09Z |
| publishDate | 2015-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Heart Journal |
| spelling | doaj.art-3870750a68874625aa01d6599618db3a2022-12-21T21:28:27ZengElsevierIndian Heart Journal0019-48322015-12-0167S3S47S4810.1016/j.ihj.2015.06.032Percutaneous coronary intervention in a rare variety of single coronary arterySrinivas C. BudanurYadvinder SinghVinoth K. VilvanathanBabu T. ReddyNagesh C. MahadevappaManjunath C. NanjappaWe present a case of 50-year-old male having unstable angina. A rare type of single coronary artery was identified during the Coronary angiogram. The left anterior descending (LAD) and left circumflex artery (LCX) had originated from the proximal segment of right coronary artery along with significant lesion in LCX. Computed tomographic (CT) coronary angiogram confirmed the origin and course following which successful percutaneous coronary intervention (PCI) was done to LCX. The incidence of this type of coronary anomaly is 0.004%. We emphasize the importance of having a CT coronary angiogram to identify the course before the intervention. The procedural risk during PCI in patients with single coronary ostium is high. Moreover, the angulation and course of the culprit artery also pose a challenge. Good coaxial guide support by using an appropriate guiding catheter is the key to success.http://www.sciencedirect.com/science/article/pii/S0019483215002588Single coronary arteryCoronary artery anomaliesIschaemic heart diseasePercutaneous coronary intervention |
| spellingShingle | Srinivas C. Budanur Yadvinder Singh Vinoth K. Vilvanathan Babu T. Reddy Nagesh C. Mahadevappa Manjunath C. Nanjappa Percutaneous coronary intervention in a rare variety of single coronary artery Indian Heart Journal Single coronary artery Coronary artery anomalies Ischaemic heart disease Percutaneous coronary intervention |
| title | Percutaneous coronary intervention in a rare variety of single coronary artery |
| title_full | Percutaneous coronary intervention in a rare variety of single coronary artery |
| title_fullStr | Percutaneous coronary intervention in a rare variety of single coronary artery |
| title_full_unstemmed | Percutaneous coronary intervention in a rare variety of single coronary artery |
| title_short | Percutaneous coronary intervention in a rare variety of single coronary artery |
| title_sort | percutaneous coronary intervention in a rare variety of single coronary artery |
| topic | Single coronary artery Coronary artery anomalies Ischaemic heart disease Percutaneous coronary intervention |
| url | http://www.sciencedirect.com/science/article/pii/S0019483215002588 |
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