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

Shah, A R; Redmond, M

dc.contributor.author	Shah, A R
dc.contributor.author	Redmond, M
dc.date.accessioned	2011-03-28T14:35:58Z
dc.date.available	2011-03-28T14:35:58Z
dc.date.issued	2010-05
dc.identifier.citation	Single coronary artery; extremely rare coronary anomaly successfully treated surgically in young adult male. 2010, 103 (5):150-1 Ir Med J	en
dc.identifier.issn	0332-3102
dc.identifier.pmid	20666088
dc.identifier.uri	http://hdl.handle.net/10147/125823
dc.description.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.
dc.language.iso	en	en
dc.subject.mesh	Adult
dc.subject.mesh	Coronary Angiography
dc.subject.mesh	Coronary Vessel Anomalies
dc.subject.mesh	Diagnosis, Differential
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Tomography, X-Ray Computed
dc.title	Single coronary artery; extremely rare coronary anomaly successfully treated surgically in young adult male.	en
dc.type	Article	en
dc.contributor.department	Department of Cardiothoracic Surgery, Mater Misericordiae University Hospital, Eccles St, Dublin 7. asifshah75@yahoo.com	en
dc.identifier.journal	Irish medical journal	en
refterms.dateFOA	2018-08-22T11:36:03Z
html.description.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.