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Rescue percutaneous transluminal coronary angioplasty in a patient with a single coronary artery arising from the right Sinus Valsalvae: previously unreported scenario and review of literature
Author(s) -
ZWEIKER R.,
LUHA O.,
KLEIN W. W.
Publication year - 2002
Publication title -
journal of internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.625
H-Index - 160
eISSN - 1365-2796
pISSN - 0954-6820
DOI - 10.1046/j.1365-2796.2002.01003.x
Subject(s) - medicine , right coronary artery , cardiology , circumflex , coronary sinus , aortic sinus , angioplasty , timi , myocardial infarction , stent , sinus (botany) , artery , radiology , percutaneous coronary intervention , coronary angiography , botany , biology , genus
. Zweiker R, Luha O, Klein WW (Karl‐Franzens University Hospital, Austria). Rescue percutaneous transluminal coronary angioplasty in a patient with a single coronary artery arising from the right Sinus Valsalvae: previously unreported scenario and review of literature (Case Report). J Intern Med 2002; 252: 84–87. This is the first description of treatment with coronary stenting of a patient with a single coronary artery originating from the right Sinus Valsalvae and suffering from acute inferior myocardial infarction. Angiography showed the following: the right coronary artery (RCA) had a normal course, whilst the left anterior descending (LAD) as well as the left circumflex (LCX) branches both originated separately from the proximal RCA, which served as a common mixed trunk. The LAD crossed to the left in front of the right ventricular outflow tract, whilst the LCX, taking a retroaortic course to the atrioventricular groove, had a distal occlusion. According to an anatomically based classification considering all imaginable variations, this configuration corresponds to a II‐D‐1 pattern, which previously has been described only in a single postmortem case. After the LCX was reopened with a guide wire, a coronary stent was successfully inserted, resulting in TIMI‐3 flow. Recovery was uneventful.