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A case of ST segment-elevated myocardial infarction with less common forms of single coronary artery

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Abstract

A 60 year-old man presenting with chest pain was diagnosed with acute ST-elevated myocardial infarction. An emergency coronary angiography showed distal left circumflex artery (LCX) occlusion. The ostium of the right coronary artery (RCA) was not detectable. Following primary percutaneous coronary intervention in the occluded LCX, we confirmed that RCA region was fed from both LAD and LCX. Coronary computed tomography showed similar findings. This single coronary artery anomaly is extremely rare and cannot be categorized according to the established classification system.

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Authors and Affiliations

  1. Cardiovascular Center, Sagamihara Kyodo Hospital, Sagamihara, Japan

    Masashi Koga, Daiki Ito & Harukazu Iseki

  2. Department of Internal Medicine, Division of Cardiology, Tokai University Hachioji Hospital, 1838 Ishikawa-cho, Hachioji, Tokyo, 192-0032, Japan

    Yota Kawamura

  3. Department of Internal Medicine, Division of Cardiology, Tokai University School of Medicine, Isehara, Kanagawa, Japan

    Yuji Ikari

Authors
  1. Masashi Koga
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  2. Yota Kawamura
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  3. Daiki Ito
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  4. Harukazu Iseki
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  5. Yuji Ikari
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Corresponding author

Correspondence to Yota Kawamura.

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We reported this case by consent of patient in accordance with the Helsinki Declaration of 1964.

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Koga, M., Kawamura, Y., Ito, D. et al. A case of ST segment-elevated myocardial infarction with less common forms of single coronary artery. Cardiovasc Interv and Ther 31, 304–308 (2016). https://doi.org/10.1007/s12928-015-0357-x

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  • DOI: https://doi.org/10.1007/s12928-015-0357-x

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