Gupta Mohit D, Girish M P, Subhendu M S K, Tyagi Sanjay
Department of Cardiology, GB Pant Hospital and Associated Maulana Azad Medical College, Room 125, Academic Block, First Floor, New Delhi, 110002, India.
Cardiovasc Interv Ther. 2013 Jul;28(3):322-6. doi: 10.1007/s12928-013-0170-3. Epub 2013 Feb 28.
Anomalous origin of left coronary artery from right sinus of Valsalva (RSV) is extremely rare when not associated with other cardiac anomalies. We describe a case of single coronary artery arising from the RSV in a 75-year-old male patient with coronary heart disease. Angiography revealed significant atherosclerotic stenosis in all the three coronary arteries. This report highlights the feasibility and safety of multivessel percutaneous coronary intervention (PCI) in this rare anomaly and discusses the important technical considerations to be kept in mind while attempting such a case. This is the first report in the literature describing PCI in all the vessels of a single coronary trunk arising from RSV.
当不伴有其他心脏异常时，左冠状动脉起源于右冠状动脉窦（RSV）极为罕见。我们描述了一例75岁男性冠心病患者，其单支冠状动脉起源于RSV。血管造影显示所有三支冠状动脉均存在显著的动脉粥样硬化狭窄。本报告强调了在这种罕见异常情况下进行多支血管经皮冠状动脉介入治疗（PCI）的可行性和安全性，并讨论了处理此类病例时应牢记的重要技术要点。这是文献中首例描述对起源于RSV的单支冠状动脉主干所有血管进行PCI的报告。
