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CardioVascular and Interventional Radiology

, Volume 26, Issue 6, pp 567–568 | Cite as

Single Coronary Artery with Aortic Regurgitation

  • Manny C. KatsetosEmail author
  • Dale T. Toce
Case Report

Abstract

An isolated single coronary artery can be associated with normal life expectancy; however, patients are at an increased risk of sudden death. A case is reported of a 54-year-old man with several months of chest pressure with activity. On exercise Sestamibi stress testing, the patient developed a hypotensive response with no symptoms and minimal electrocardiographic changes. Nuclear scanning demonstrated reversible septal and lateral perfusion defects consistent with severe ischemia. Coronary angiography revealed a single coronary artery with the right coronary artery arising from the left main. There were high-grade stenotic lesions in the left anterior descending and circumflex arteries with only moderate atherosclerotic disease in the right coronary artery. An aortogram showed 2–3+ aortic regurgitation, with an ejection fraction of 45% on ventriculography. The patient underwent four-vessel revascularization and aortic valve replacement and did well postoperatively.

Keywords

Single coronary artery anomaly Aortic valve replacement 

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Copyright information

© Springer-Verlag New York, Inc. 2003

Authors and Affiliations

  1. 1.Cardiovascular Disease Fellowship ProgramSt. Francis Hospital and Medical Center, University of Connecticut, Hartford, ConnecticutUSA
  2. 2.Department of Cardiovascular DiseaseSt. Francis Hospital and Medical Center, University of Connecticut, Hartford, ConnecticutUSA

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