Successful Ostial Stenting in a Patient with a Single Coronary Artery from the Right Sinus of Valsalva: A Case Report

Hossein Doustkami,Afshin Habibzadeh

doi:10.18502/jthc.v13i3.135

Abstract

Single coronary arteries (SCAs) constitute a rare coronary anomaly which is usually asymptomatic. However, SCAs may become symptomatic and even cause myocardial ischemia and infarction and as such necessitate proper intervention whether percutaneous or surgical. We describe an 89-year-old woman with an SCA from the right sinus of Valsalva presenting with chest pain and acute myocardial infarction. We succeeded in performing percutaneous coronary intervention and stenting on the ostial lesion of the SCA, and there were no further complications. The patient was discharged 2 days later with no adverse complications.

Highlights

Coronary artery anomalies are usually detected as incidental findings during coronary angiography and are mostly anomalies of origination and course.[1]
SCAs may be found incidentally during the evaluation of patients with suspected coronary artery disease, but they can be the cause of myocardial ischemia or infarction
percutaneous coronary intervention (PCI) with stenting can be a treatment of choice if the morphology and the route of the anomaly and the coronary artery involved can be accurately determined

Summary

Introduction

Coronary artery anomalies are usually detected as incidental findings during coronary angiography and are mostly anomalies of origination and course.[1]. J Teh Univ Heart Ctr 2018;13(3):[140-143] This paper should be cited as: Doustkami H, Habibzadeh A. Successful Ostial Stenting in a Patient with a Single Coronary Artery from the Right Sinus of Valsalva: A Case Report. Coronary artery anomalies are usually detected as incidental findings during coronary angiography and are mostly anomalies of origination and course.[1] Single coronary arteries (SCAs) constitute a rare anomaly with an incidence rate of 0.024% to 0.066%.2 They are mostly asymptomatic but may cause myocardial ischemia, infarction, heart failure, or sudden death.[3]

Results

Conclusion