Publish in this journal
Journal Information
Vol. 67. Issue 2.
Pages 147 (February 2014)
Image in cardiology
DOI: 10.1016/j.rec.2013.04.013
Full text access
An Unusual Case of Single Coronary Artery
Un caso excepcional de arteria coronaria única
Visits
...
Sandra Mayordomo??
Corresponding author
sandrinimg@hotmail.com

Corresponding author:
, Carolina Granda, Leire Unzué
Servicio de Cardiología, Hospital Universitario 12 de Octubre, Madrid, Spain
This item has received
...
Visits
(Daily data update)
Article information
Full Text
Download PDF
Statistics
Figures (2)
Full Text

An 81-year-old man with a history of hypertension, dyslipidemia, and diabetes consulted for progressive angina. Ergometry findings indicated a poor prognosis. Coronary angiography showed a severe lesion in the dominant circumflex artery (CX) at the bifurcation with the obtuse marginal artery. A severe calcified lesion was seen in the middle portion of the left anterior descending artery (LAD) at the bifurcation with an anomalous artery that ran anterior to the right ventricular outflow tract and reached the coronary sulcus, where it continued in the normal course of the right coronary artery (RCA) (Figs. 1 and 2). Angiography showed agenesis of the right coronary ostium. Myocardial revascularization surgery was undertaken.

Figure 1
(0.13MB).
Figure 2
(0.12MB).

Anomalous coronary arteries are seen in 0.3% to 1.3% of coronary angiography studies. Single coronary artery is uncommon (0.0024%-0.066%). Origin of the RCA from the LAD is extremely rare. Only 8 cases of RCA arising from the middle LAD have been described, and this is the first published case in Spain. Single coronary artery does not usually have clinical repercussions, although it can present with angina or sudden death. An association with an increase in arteriosclerotic disease has been hypothesized.

Computed tomography angiography is an aid to the diagnosis of coronary anomalies. It is not absolutely necessary if management is clarified by angiography. In patients older than 30 years with ischemic symptoms, the treatment is similar to that used in other patients because of the low risk of sudden death. In young patients with an interarterial course, a more aggressive management is recommended, and surgical treatment can be considered.

Copyright © 2013. Sociedad Española de Cardiología
Idiomas
Revista Española de Cardiología (English Edition)

Subscribe to our newsletter

Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.