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    Single coronary artery; extremely rare coronary anomaly successfully treated surgically in young adult male.

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    Authors
    Shah, A R
    Redmond, M
    Affiliation
    Department of Cardiothoracic Surgery, Mater Misericordiae University Hospital, Eccles St, Dublin 7. asifshah75@yahoo.com
    Issue Date
    2010-05
    MeSH
    Adult
    Coronary Angiography
    Coronary Vessel Anomalies
    Diagnosis, Differential
    Humans
    Male
    Tomography, X-Ray Computed
    
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    Citation
    Single coronary artery; extremely rare coronary anomaly successfully treated surgically in young adult male. 2010, 103 (5):150-1 Ir Med J
    Journal
    Irish medical journal
    URI
    http://hdl.handle.net/10147/125823
    PubMed ID
    20666088
    Abstract
    Single coronary artery arising from aortic root, is a rare congenital anomaly. A 30-year-old male presented with acute myocardial infarction (MI) complaining of chest pain and raised troponin levels. Emergency angiography showed no coronary lesions but both left and right coronary arteries arising from single ostium. Patient was operated electively and perioperative findings confirmed the diagnosis of single coronary artery, as left coronary artery after taking origin from right sinus of valsalva runs through the septum, before dividing into left anterior descending and circumflex branches. The single coronary ostium opened with a slit like incision over the course of left main coronary, making the size of ostium three to four times bigger than the native one. In addition left internal mammary artery was harvested and grafted to the left anterior descending branch distally. Patient made successful recovery. Four months follow up dobutamine stress echo showed no inducible ischemia.
    Item Type
    Article
    Language
    en
    ISSN
    0332-3102
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