PCI in a single coronary artery from right aortic sinus: A rare case

Khànal, Suraj; Vijayvergiya, Rajesh; Singhal, Manphool

doi:10.1016/j.ihj.2015.03.004

Indian Heart Journal

2015

DOI: 10.1016/j.ihj.2015.03.004

|View full text |Cite

PCI in a single coronary artery from right aortic sinus: A rare case

Suraj Khànal

Rajesh Vijayvergiya

Manphool Singhal

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2019

2024

Publication Types

Select...

Article2

Relationship

Self Cite0

Independent2

Authors

Journals

Cited by 2 publications

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1 Only one report has previously described PCI for type R-IIA. 2 The coronary lesion in that report was at the same position as in the present case. The turbulence might occur morphologically in this anomaly, impairing the vascular endothelium.…”

supporting

confidence: 70%

Successful Percutaneous Coronary Intervention to Single Coronary Artery From the Right Sinus of Valsalva

Ishii

Akioka

Yufu

et al. 2019

Circ J

View full text Add to dashboard Cite

because of the high STS score (6.385%) and emergency status. We selected Heartrail ® Ikari Left 4.0 (Terumo, Japan) to provide appropriate backup without injury. The drug-eluting stent was deployed (Figure E). After PCI, the symptom disappeared.The present single coronary artery was type R-IIA according to Lipton classification; type R-II patients comprise 0.015% of the population. 1 Only one report has previously described PCI for type R-IIA. 2 The coronary lesion in that report was at the same position as in the present case. The turbulence might occur morphologically in this anomaly, impairing the vascular endothelium. DisclosuresThe authors declare no conflicts of interest. References1. Lipton MJ, Barry WH, Obrez I, Silverman JF, Wexler L. Isolated single coronary artery: Diagnosis, angiographic classification, and clinical significance. Radiology 1979; 130: 39 -47. 2. Khanal S, Vijayvergiya R, Singhal M. PCI in a single coronary artery from right aortic sinus: A rare case. Indian Heart J 2015; 67: 141 -143.A n 89-year-old woman visited hospital with chest pain. Troponin T was rising (0.032 μg/mL). Twelvelead electrocardiogram showed ST elevation in aVR and ST depression in V2-5, and these changes were improved by nitroglycerin. The patient was therefore diagnosed with unstable angina. Computed tomography angiography (CTA) showed a single coronary artery arising from the right coronary ostium (Figure A-C). The left coronary artery with a long transverse trunk crossed in front of the pulmonary artery (Figure B). The long left main coronary trunk had severe stenosis with rich plaque. Coronary angiography showed a lesion compatible with that seen on CTA (Figure D). We chose percutaneous coronary intervention (PCI) but not coronary artery bypass grafting Figure. (A,B) Computed tomography (CT) angiography with volume rendering showing the severely stenotic lesion (red arrow) and the single coronary artery with left main coronary trunk (LMT; black arrow) arising from a normal right coronary artery (RCA; white arrow). (C) CT angiography with curved planar reconstruction showing a 90% stenotic lesion (red arrow) in the middle of the LMT. (D,E) Coronary angiography (left anterior oblique caudal view) showing (D) the left coronary artery diverging at 90° from the RCA and the same 90% stenotic lesion (red arrow) as on CT, and (E) successful percutaneous coronary intervention. LAD, left anterior descending coronary artery; LCX, left circumflex coronary artery. IMAGES IN CARDIOVASCULAR MEDICINE

show abstract

supporting

confidence: 70%

Successful Percutaneous Coronary Intervention to Single Coronary Artery From the Right Sinus of Valsalva

Ishii

Akioka

Yufu

et al. 2019

Circ J

View full text Add to dashboard Cite

show abstract

Challenging situation of coronary artery anomaly associated with ischemia and/or risk of sudden death

Ito

2024

World J Cardiol

View full text Add to dashboard Cite

Coronary artery anomaly is known as one of the causes of angina pectoris and sudden death and is an important clinical entity that cannot be overlooked. The incidence of coronary artery anomalies is as low as 1%-2% of the general population, even when the various types are combined. Coronary anomalies are practically challenging when the left and right coronary ostium are not found around their normal positions during coronary angiography with a catheter. If there is atherosclerotic stenosis of the coronary artery with an anomaly and percutaneous coronary intervention (PCI) is required, the suitability of the guiding catheter at the entrance and the adequate back up force of the guiding catheter are issues. The level of PCI risk itself should also be considered on a case-by-case basis. In this case, emission computed tomography in the R-1 subtype single coronary artery proved that ischemia occurred in an area where the coronary artery was not visible to the naked eye. Meticulous follow-up would be crucial, because sudden death may occur in single coronary arteries. To prevent atherosclerosis with full efforts is also important, as the authors indicated admirably.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

PCI in a single coronary artery from right aortic sinus: A rare case

Cited by 2 publications

References 8 publications

Successful Percutaneous Coronary Intervention to Single Coronary Artery From the Right Sinus of Valsalva

Successful Percutaneous Coronary Intervention to Single Coronary Artery From the Right Sinus of Valsalva

Challenging situation of coronary artery anomaly associated with ischemia and/or risk of sudden death

Contact Info

Product

Resources

About