scholarly journals Inferior Myocardial Infarction and Total AV Block in a Patient with Single Ostium in the Right Sinus of Valsava (A Rare Congenital Coronary Anomaly)

2021 ◽  
Vol 2 (1) ◽  
pp. 36
Author(s):  
Imam Mahbub Zam Zami
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Wall Motion ◽  
Cardiac Ct ◽  
Acute Angle ◽  
Single Coronary Artery ◽  
Av Block ◽  
The Right ◽  
Choice Of Therapy ◽  
Congenital Coronary Anomaly

A 51-year-old male suffered from a STEMI inferior and a total AV block. Echocardiography shows hypokinetic wall motion at the inferior and inferoseptal that result in decreased EF. Coronary angiography revealed a single ostium of coronary artery without any stenosis. Cardiac CT revealed a single coronary artery arises from a single ostium from RCC and divided into RCA and LCA. There was an inter-arterial course of proximal RCA and proximal LCA between aorta and pulmonal artery. There was an acute angle take off of RCA from aorta.  Inter-arterial course and acute angle take off of coronary artery from aorta result in kinking and narrowing of coronary artery that contributes to myocardial infarction. There is a mismatch between myocardial demand which is increased during exertion and myocardial oxygen delivery that decreased during exertion. A surgical anterior pulmonal transposition is the suggested choice of therapy.

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

2015 ◽  
Vol 31 (4) ◽  
pp. 304-308 ◽  
Author(s):  
Masashi Koga ◽  
Yota Kawamura ◽  
Daiki Ito ◽  
Harukazu Iseki ◽  
Yuji Ikari
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Single Coronary Artery ◽  
St Segment

MDCT of the anomalous origin of the right coronary artery from the left sinus of Valsalva as a single coronary artery

2006 ◽  
Vol 109 (1) ◽  
pp. 125-126 ◽  
Author(s):  
Yuichi Sato ◽  
Makoto Ichikawa ◽  
Mitsuyo Masubuchi ◽  
Shunichi Yoda ◽  
Satoru Furuhashi ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Anomalous Origin ◽  
Single Coronary Artery ◽  
Sinus Of Valsalva ◽  
The Right ◽  
Left Sinus Of Valsalva

Acute Myocardial Infarction Due to Spontaneous Dissection of the Right Coronary Artery in a Young Male

2004 ◽  
Vol 27 (5) ◽  
Author(s):  
Dimitris P. Papadopoulos ◽  
Ioannis Moyssakis ◽  
Alexandros Perakis ◽  
Andreas Athanasiou ◽  
Sophia Anagnostopoulou ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Young Male ◽  
The Right ◽  
Spontaneous Dissection

scholarly journals Patient with Acute Coronary Syndrome in the Setting of an Extremely Rare form of Complex Congenital Anomalous Coronaries

Aorta ◽  
2021 ◽  
Author(s):  
Mahmoud Abdelnabi ◽  
Fady Gerges ◽  
Yehia Saleh ◽  
Eman Elsharkawy ◽  
Mohamed Sanhoury ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Artery ◽  
Young Patient ◽  
Right Coronary Artery ◽  
Unusual Case ◽  
Single Coronary Artery ◽  
Sinus Of Valsalva ◽  
Rare Form ◽  
Coronary Syndrome ◽  
The Right

AbstractA single coronary artery is an exceedingly rare anomaly. Hereby, we present an unusual case of a young patient with an acute coronary syndrome who was found to have a single coronary artery originating from a single ostium in the right sinus of Valsalva with dual left anterior descending (LAD) arteries arising from the right coronary artery with two different anatomical courses, and additionally one of those LADs running a malignant intra-arterial course.

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