Patient with Acute Coronary Syndrome in the Setting of an Extremely Rare form of Complex Congenital Anomalous Coronaries.

Abdallah Almaghraby,Eman Elsharkawy,Fady Gerges,Mahmoud Abdelnabi,Mahmoud Hassanein,Mohamed Sanhoury,Yehia Saleh

doi:10.1055/s-0041-1729852

Abdallah Almaghraby, Eman Elsharkawy + Show 5 more

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https://doi.org/10.1055/s-0041-1729852

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Abstract

A single coronary artery is an exceedingly rare anomaly. Hereby, we present an unusual case of a young patient with an acute coronary syndrome who was found to have a single coronary artery originating from a single ostium in the right sinus of Valsalva with dual left anterior descending (LAD) arteries arising from the right coronary artery with two different anatomical courses, and additionally one of those LADs running a malignant intra-arterial course.

Highlights

Case PresentationIn a single coronary artery (SCA), the entire coronary tree arises as a single trunk from the ascending aorta and no evidence of a second coronary artery is found.[1]Dual left anterior descending (LAD) artery was first described by Spindola-Franco et al,[2] in 1983
We present an unusual case of a young patient with an acute coronary syndrome who was found to have a single coronary artery originating from a single ostium in the right sinus of Valsalva with dual left anterior descending (LAD) arteries arising from the right coronary artery with two different anatomical courses, and one of those LADs running a malignant intra-arterial course
SCA, as well as to delineate the type of surgery indicated. This confirmed our diagnosis and demonstrated a benign course of the first proximal LAD artery, but a malignant course was to be distal long LAD that was running between the aorta and the right ventricular outflow tract (►Figs. 2 and 3; ►Video 2 [available in the online version])

Summary

Introduction

Case PresentationIn a single coronary artery (SCA), the entire coronary tree arises as a single trunk from the ascending aorta and no evidence of a second coronary artery is found.[1]Dual left anterior descending (LAD) artery was first described by Spindola-Franco et al,[2] in 1983. MD, Clinical and Experimental Internal Medicine Department, Cardiology and Angiology Unit, Medical Research Institute, University of Alexandria, 165 El-Horeya Rd, Al Ibrahimeyah Qebli WA Al Hadrah Bahri, Qesm Bab Sharqi, Alexandria Governorate, 21561, Egypt (e-mail: mahmoud.hassan.abdelnabi@outlook.com).

Results

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