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Case Reports
. 2014 May-Jun;66(3):382-5.
doi: 10.1016/j.ihj.2014.03.011. Epub 2014 Apr 16.

Percutaneous coronary intervention in a patient with single coronary artery

T K Mishra  1 , C K Mishra  2 , B Das  2
Affiliations
Case Reports

Percutaneous coronary intervention in a patient with single coronary artery

T K Mishra et al. Indian Heart J. 2014 May-Jun.

Abstract

Coronary artery anomalies are found in 1-5% of all coronary angiograms. Single coronary artery is a rare congenital anomaly. The prevalence of the anomaly is 0.024-0.066% of the general population and percutaneous coronary intervention in this anomaly is performed infrequently. The highest incidence of this condition is reported from India. We report a case of a 55 year old patient of anterior wall ST elevation myocardial infarction with L1 group of single coronary artery who underwent successful angioplasty and stenting to left anterior descending artery. The unique features and inherent risks of percutaneous coronary intervention to single coronary artery are discussed.

Keywords: Myocardial infarction; Percutaneous coronary intervention; Single coronary artery.

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Figures

Fig. 1
Fig. 1
Angio 1 – angiography showing LMCA origin & its course.
Fig. 2
Fig. 2
Angio 2 – aortogram showing single coronary artery.
Fig. 3
Fig. 3
CT Angio 2 – CT angiography showing single coronary artery.
Fig. 4
Fig. 4
Post PCI Angio – angiography showing recanalization of LAD.
See this image and copyright information in PMC

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