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Percutaneous coronary intervention of all three coronary arteries originating from single coronary artery arising from the right sinus

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Abstract

Anomalous origin of left coronary artery from right sinus of Valsalva (RSV) is extremely rare when not associated with other cardiac anomalies. We describe a case of single coronary artery arising from the RSV in a 75-year-old male patient with coronary heart disease. Angiography revealed significant atherosclerotic stenosis in all the three coronary arteries. This report highlights the feasibility and safety of multivessel percutaneous coronary intervention (PCI) in this rare anomaly and discusses the important technical considerations to be kept in mind while attempting such a case. This is the first report in the literature describing PCI in all the vessels of a single coronary trunk arising from RSV.

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Reference

  1. Baltaxe HA, Wixson D. The incidence of congenital anomalies of coronary arteries in the adult population. Radiology. 1977;122:47–52.

    PubMed  CAS  Google Scholar 

  2. Click RL, Holmes DR Jr, Vilestra RE, Kosinski AS, Kronmal RA. Anomalous coronary arteries: location, degree of atherosclerosis and effect on survival: a report from the coronary artery study. J Am Coll Cardiol. 1989;13:531–7.

    Article  PubMed  CAS  Google Scholar 

  3. Angelini P. Coronary artery anomalies an entity in search of an identity. Circulation. 2007;115:1296–305.

    PubMed  Google Scholar 

  4. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary angiography. Cathet Cardiovasc Diagn. 1990;21:28–40.

    Article  PubMed  CAS  Google Scholar 

  5. Frescura C, Basso C, Thiene G, Corrado D, Pennelli T, Angelini A, et al. Anomalous origin of coronary arteries and risk of sudden death: a study based on an autopsy population of congenital heart disease. Hum Pathol. 1998;29:689–95.

    Article  PubMed  CAS  Google Scholar 

  6. Kelley MJ, Wolfson S, Marshall R. Single coronary artery from the right sinus of Valsalva: angiography, anatomy and clinical significance. Am J Roentgenol. 1977;128:257–62.

    Article  CAS  Google Scholar 

  7. Patel K, Davidson A, Karl TR. Anomalous left coronary artery arising from the right coronary cusp. Ann Thorac Surg. 2001;71:2045.

    Article  PubMed  CAS  Google Scholar 

  8. Kastanis P, Marti V, Gotsanayidou M. Anomalous left coronary artery arising from the right sinus of Valsalva causing angina pectoris. J Cardiovasc Med. 2009;10:574–5.

    Article  Google Scholar 

  9. Shirani J, Roberts WC. Solitary coronary ostium in aorta in the absence of major congenital cardiovascular anomalies. J Am Coll Cardiol. 1993;21:137–43.

    Article  PubMed  CAS  Google Scholar 

  10. Gallagher SM, Jain AK, Archbold RA. Primary percutaneous coronary intervention for ST-elevation myocardial infarction in a patient with a single coronary artery arising from the right aortic sinus. J Invasive Cardiol. 2011;23(3):E61–2.

    PubMed  Google Scholar 

  11. Cakar MA, Tatli E, Ozalp B, Gunduz H. Percutaneous coronary intervention of a single coronary artery arising from the right sinus of Valsalva. Vasc Health Risk Manag. 2010;25(6):1078.

    Google Scholar 

  12. Sato M, Okada T, Ohara A, Aoki T, Kawamoto I. Percutaneous coronary intervention for a single coronary artery arising from the right sinus of Valsalva. J Cardiol 2009;54(2):322–5 (epub 2009 Feb 12).

    Google Scholar 

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Authors and Affiliations

  1. Department of Cardiology, GB Pant Hospital and Associated Maulana Azad Medical College, Room 125, Academic Block, First Floor, New Delhi, 110002, India

    Mohit D. Gupta, M. P. Girish, M. S. K. Subhendu & Sanjay Tyagi

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  1. Mohit D. Gupta
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  2. M. P. Girish
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  3. M. S. K. Subhendu
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  4. Sanjay Tyagi
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Corresponding author

Correspondence to Mohit D. Gupta.

Electronic supplementary material

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12928_2013_170_MOESM1_ESM.avi

Video 1: Coronary angiogram of single coronary artery engaged with AR-2 guide catheter in left anterior oblique-cranial view showing all three coronary arteries (right coronary, left circumflex and left anterior descending artery) arising from a single trunk arising from right sinus of Valsalva. All the arteries have severe obstructive disease. (AVI 4318 kb)

12928_2013_170_MOESM2_ESM.avi

Video 2: Coronary angiogram of single coronary artery engaged with AR-2 guide catheter in LAO cranial view showing excellent flow in right coronary artery and left circumflex artery after stent deployment. (AVI 4179 kb)

12928_2013_170_MOESM3_ESM.avi

Video 3: Selective coronary angiogram of LAD deeply engaged with 3DRC guide catheter in PA cranial view showing excellent flow in LAD after stent deployment. (AVI 2976 kb)

12928_2013_170_MOESM4_ESM.avi

Video 4: Coronary angiogram of single coronary artery engaged with AR-2 guide catheter in lateral projection showing excellent flow in left anterior descending artery, right coronary artery and left circumflex artery after stent deployment. (AVI 2908 kb)

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Gupta, M.D., Girish, M.P., Subhendu, M.S.K. et al. Percutaneous coronary intervention of all three coronary arteries originating from single coronary artery arising from the right sinus. Cardiovasc Interv and Ther 28, 322–326 (2013). https://doi.org/10.1007/s12928-013-0170-3

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  • DOI: https://doi.org/10.1007/s12928-013-0170-3

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