Right single coronary artery as an incidental finding in Takotsubo syndrome and acute heart failure: Case report and review of the literature

Neiva, Joana; Silva, Marisa Passos; Pires‐Morais, Gustavo; Dias, Adelaide; Ponte, Marta; Caeiro, Daniel; Braga, Joana; Ferreira, Nuno; Ribeiro, Vasco Gama

doi:10.1016/j.repce.2019.05.006

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…Based on the Lipton et al classification, the patient in this case is classified into LI where the single coronary artery arises from the left sinus of valsalva and the LCx takes its normal route and continues to the territory of the RCA. 1,5,7,8 In cases with single coronary artery that arises from the left sinus of valsalva, the RCA may arise from the proximal or the mid segment of the LAD and take the route through the anterior part of the pulmonary artery or through the route between the aorta and the pulmonary artery heading towards the right atrioventricular groove. The prevalence of this anomaly is 0.024%-0.066% of the general population.…”

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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Section: Discussionmentioning

confidence: 99%

Single Coronary Artery, a Coronary Anatomy Anomaly

Rahman

Taufiq

Hariawan

2020

Acta Cardiol Indones

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“…In general, treatment of patients with SCA includes observation, pharmacological, percutaneous and surgical interventions. [8,9] Revascularization is recommended only in SCA with significant atherosclerosis and documented ischemia. Herein we reported a male patient with congenital single right coronary artery (RCA) who had hemodynamic instability and acute myocardial infarction (AMI) caused by atherosclerotic plaques rupture.…”

Section: Introductionmentioning

confidence: 99%

Successful percutaneous coronary intervention in a congenital single right coronary artery with acute myocardial infarction: A case report and literature review

Li,

Lv,

Han

et al. 2024

Medicine

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Rationale: Single coronary artery (SCA) is a rare coronary artery malformation. SCA combined with atherosclerotic plaques can cause severe and widespread myocardial ischemia and infarction, leading to hemodynamic instability and even sudden death. Patient concerns: A 48-year-old Chinese man was admitted for treatment of persistent chest tightness and panic for 5 hours. The patient was a lorry driver with high work intensity and mental stress, with body mass index of 33.78, history of smoking and alcohol consumption, but no history of hypertension and diabetes. Diagnoses: Admission examination showed Troponin was 183.083 µg/L and CK-MB value was >300 µg/L. The patient was diagnosed with a congenital single right coronary artery (RCA) with acute myocardial infarction (AMI) by coronary angiography (CAG). Due to atherosclerotic plaques rupture, a complete occlusion of the proximal RCA with thrombolysis in myocardial infarction grade 0 of distal blood flow were found. Interventions and outcomes: The patient was treated with thrombus aspiration and thrombolytic therapy by percutaneous coronary intervention under the support of intra-aortic balloon pump. Postoperative the chest tightness and panic were relieved, and CAG revealed that the proximal thrombus of the RCA was reduced, and distal blood flow was restored to thrombolysis in myocardial infarction grade 3. After 2 weeks of intensive antithrombotic and lipid-regulating drug therapy, the patient was successfully discharged. Follow-up for 6 months, the patient was able to live and work normally without experiencing chest tightness and chest pain. Computed tomography angiography (CTA) confirmed a congenital single RCA with patent lumen and no severe stenosis. Lessons: The congenital single RCA is very rare, and it is fatal in conjunction with acute coronary syndrome. Early detection and appropriate treatment is critical for AMI patient with single RCA. CAG is the gold standard for diagnosis of single RCA, and CTA is a necessary to describe the anatomical course of abnormal coronary arteries.

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Right single coronary artery as an incidental finding in Takotsubo syndrome and acute heart failure: Case report and review of the literature

Cited by 2 publications

References 18 publications

Single Coronary Artery, a Coronary Anatomy Anomaly

Single Coronary Artery, a Coronary Anatomy Anomaly

Successful percutaneous coronary intervention in a congenital single right coronary artery with acute myocardial infarction: A case report and literature review

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