&lt;p&gt;Anomalous coronary artery anatomy with a single coronary ostium arising from the right coronary: a case report and literature review&lt;/p&gt;

Abdulshakour, Bothaina Mohammed; Saeed, Muhammad; Taher, Mohiuddin M.

doi:10.2147/imcrj.s194029

Cited by 3 publications

(5 citation statements)

References 36 publications

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“…The cause of SCA is uncertain. It may lead to angina, myocardial infarction, arrhythmias, heart failure and sudden death [ 4 ]. Myocardial ischemia can be due to acute angle take off of the abnormal vessel with a narrowed slit-like orifice that collapses in a valve-like manner thereby limiting blood flow.…”

Section: Discussionmentioning

confidence: 99%

“…Coronary angiography is the gold standard investigation. However, CT can provide anatomical information of prognostic value [ 4 ]. Lipton classification is widely used [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…All patients were treated medically except for one patient who required stent implantation [ 1 ]. Two previous cases were treated medically due to atypical chest pain [ 4 , 6 ]. However, in our case, the patient had severe multi-vessel disease with acute MI and high-risk anomaly and CABG were the gold standard for his case.…”

Section: Discussionmentioning

confidence: 99%

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Coronary artery bypass graft in an isolated single coronary ostium with triple vessel disease

Al-Sarraf

Chandrasekar

2021

Journal of Surgical Case Reports

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Single coronary artery (SCA) is a rare congenital anomaly whereby only one coronary artery arises from single coronary artery ostium of the aortic trunk and supplies the whole heart. The incidence of this anomaly is 0.0024–0.066% in patients undergoing coronary angiography. It is usually an isolated anomaly and majority of patients are picked up incidentally. Lipton classification is widely used to classify this anomaly. Most cases are detected by computerized tomography and/or coronary angiography and are treated medically. Here, we present a rare case of type RII-B in which the patient underwent coronary artery bypass graft for severe triple vessel disease presenting as acute myocardial infarction.

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Section: Discussionmentioning

confidence: 99%

“…Coronary angiography is the gold standard investigation. However, CT can provide anatomical information of prognostic value [ 4 ]. Lipton classification is widely used [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

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Coronary artery bypass graft in an isolated single coronary ostium with triple vessel disease

Al-Sarraf

Chandrasekar

2021

Journal of Surgical Case Reports

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“…Surgical treatment options include osteoplasty, coronary artery bypass grafting (CABG) for the coronary artery anomaly, and reimplantation of the coronary artery anomaly to the aorta. 15,16,17,18 There has not been an official guideline for treatment in patients with coronary anomaly because of the rare number of patients reported with this condition and the wide variety of cases, hence every case of coronary anomaly has to be analyzed and treated individually based on its coronary anomaly characteristics. 6 In this patient, we decided to give a conservative medical treatment because of the minimal symptom and we can still control the risk factors.…”

Section: Discussionmentioning

confidence: 99%

Single Coronary Artery, a Coronary Anatomy Anomaly

Rahman

Taufiq

Hariawan

2020

Acta Cardiol Indones

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Coronary artery anomaly and variation is a group of congenital abnormality of the coronary artery with a wide variety of clinical manifestations. The cases are rare and usually found incidentally, but they become interesting because they are the second most causes for sudden cardiac death (SCD) in young adults participating in competitive sports. The number of cases of coronary artery anomaly is starting to rise as the number of cases undergoing invasive and non-invasive diagnosis procedure. Single coronary artery is a very rare congenital anomaly where there is only one coronary ostium to supply the whole heart. This anomaly usually occurs with other congenital anomaly. The symptoms may be unspecific from asymptomatic until SCD. This case report discusses about a patient with single coronary artery, its clinical approach, and the treatment options.

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“…The underlying etiology is still unclear. A number of reports have been published in countries with high rates of consanguineous relationships [ 6 ]. While consanguinity has been associated with multiple cardiac conditions, no clear correlation with SCA has been determined [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

A Rare Anatomical Variant: Congenital Absence of the Right Coronary Artery with Left Circumflex Artery Supplying the Right Coronary Artery (RCA) Territory

et al. 2021

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Patient: Female, 66-year-old Final Diagnosis: Coronary artery anomalies Symptoms: Chest discomfort • shortness of breath Medication: — Clinical Procedure: Coronary angiography Specialty: Cardiology Objective: Rare disease Background: While most coronary congenital anomalies are uncommon, comprising less than 2% of the general population, a single coronary artery is an especially rare finding within this broader category. It involves a lone vessel forming a single ostium from the aortic trunk. This vessel is then the source through which cardiac blood supply originates. Such congenital coronary artery anomalies are rare but can have clinically relevant consequences such as sudden death and other cardiac complications. Nonetheless, they are usually incidental findings and can be asymptomatic. This report discusses the case of a female patient found to have an absence of the right coronary artery, with the left circumflex supplying the right coronary artery territory. Case Report: We report a rare case of a 66-year-old woman who presented with substernal chest pain and shortness of breath. Vital signs, laboratory work-up, and resting electrocardiogram did not reveal an underlying etiology. However, an exercise stress test was positive. Left heart catheterization was performed and revealed a dominant left circumflex artery supplying the entire right coronary territory. Further imaging revealed the absence of a separate right coronary artery ostium. The patient was treated with a beta-blocker, high-intensity statin, and a nitrate. Conclusions: Single left coronary artery, especially with the absence of the right coronary artery, is particularly rare, but can have significant clinical implications. Prompt diagnosis is important but challenging considering the variable presentation of this condition. It is important to review diagnostic modalities available and the treatment for patients.

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<p>Anomalous coronary artery anatomy with a single coronary ostium arising from the right coronary: a case report and literature review</p>

Cited by 3 publications

References 36 publications

Coronary artery bypass graft in an isolated single coronary ostium with triple vessel disease

Coronary artery bypass graft in an isolated single coronary ostium with triple vessel disease

Single Coronary Artery, a Coronary Anatomy Anomaly

A Rare Anatomical Variant: Congenital Absence of the Right Coronary Artery with Left Circumflex Artery Supplying the Right Coronary Artery (RCA) Territory

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