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Primary percutaneous coronary intervention in an anomalous single coronary trunk arising anomalously from ascending aorta

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Abstract

A 45-year-old male patient presented with acute anterior wall myocardial infarction. Angiography revealed a single coronary trunk arising from the ascending aorta above the coronary sinuses and giving rise to right coronary artery, left circumflex artery and critical stenosis in the left anterior descending artery. This report also highlights the feasibility of performing 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 of such an anomalous origin of a single coronary trunk arising from ascending aorta.

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Authors and Affiliations

  1. Department of Cardiology, G.B. Pant Hospital and Associated Maulana Azad Medical College, New Delhi, 110002, India

    Mohit D. Gupta, M. P. Girish, Ankit Bansal, Vivek Chaturvedi, Vijay Trehan & Sanjay Tyagi

  2. Room 125, Academic Block, First Floor Department of Cardiology, G.B. Pant Hospital, New Delhi, 110002, India

    Ankit Bansal

Authors
  1. Mohit D. Gupta
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  2. M. P. Girish
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  3. Ankit Bansal
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  4. Vivek Chaturvedi
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  5. Vijay Trehan
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  6. Sanjay Tyagi
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Corresponding author

Correspondence to Ankit Bansal.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

This article does not contain any studies with animals performed by any of the authors.

Electronic supplementary material

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12928_2015_343_MOESM1_ESM.avi

Supplementary material 1 (AVI 1982 kb) Video 1: Coronary angiogram with JL guide catheter AP-Caudal view showing absence of coronary arteries from the left sinus and a possible single trunk above the left sinus of valsalva from the ascending aorta

12928_2015_343_MOESM2_ESM.avi

Supplementary material 2 (AVI 1771 kb) Video 2: Coronary angiogram of SCA engaged with AL-2 guide catheter in LAO cranial view showing critical stenosis in LAD. Also seen is RCA and LCx originating from the SCA

12928_2015_343_MOESM3_ESM.avi

Supplementary material 3 (AVI 2478 kb) Video 3: Coronary angiogram of SCA engaged with AL-2 guide catheter in LAO cranial view showing excellent flow in LAD after deployment of stent. No residual stenosis is seen

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Gupta, M.D., Girish, M.P., Bansal, A. et al. Primary percutaneous coronary intervention in an anomalous single coronary trunk arising anomalously from ascending aorta. Cardiovasc Interv and Ther 31, 250–253 (2016). https://doi.org/10.1007/s12928-015-0343-3

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  • DOI: https://doi.org/10.1007/s12928-015-0343-3

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