Mishra T K, Mishra C K, Das B
Professor & HOD, Department of Cardiology, S C B Medical College, Cuttack, Odisha, India.
Assistant Professor, Department of Cardiology, S C B Medical College, Cuttack, Odisha, India.
Indian Heart J. 2014 May-Jun;66(3):382-5. doi: 10.1016/j.ihj.2014.03.011. Epub 2014 Apr 16.
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.
在所有冠状动脉造影检查中，冠状动脉异常的发现率为1%至5%。单支冠状动脉是一种罕见的先天性异常。该异常在普通人群中的患病率为0.024%至0.066%，针对这种异常进行的经皮冠状动脉介入治疗并不常见。据报道，这种情况在印度的发病率最高。我们报告一例55岁前壁ST段抬高型心肌梗死患者，其冠状动脉为L1组单支冠状动脉，成功接受了左前降支血管成形术和支架置入术。文中讨论了针对单支冠状动脉进行经皮冠状动脉介入治疗的独特特征和内在风险。
