Doustkami Hossein, Habibzadeh Afshin
Department of Cardiology, Ardabil University of Medical Sciences, Ardabil, Iran.
Department of Internal Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
J Tehran Heart Cent. 2018 Jul;13(3):140-143.
Single coronary arteries (SCAs) constitute a rare coronary anomaly which is usually asymptomatic. However, SCAs may become symptomatic and even cause myocardial ischemia and infarction and as such necessitate proper intervention whether percutaneous or surgical. We describe an 89-year-old woman with an SCA from the right sinus of Valsalva presenting with chest pain and acute myocardial infarction. We succeeded in performing percutaneous coronary intervention and stenting on the ostial lesion of the SCA, and there were no further complications. The patient was discharged 2 days later with no adverse complications.
单支冠状动脉（SCA）是一种罕见的冠状动脉异常，通常无症状。然而，SCA可能会出现症状，甚至导致心肌缺血和梗死，因此无论采用经皮还是手术方式都需要进行适当干预。我们描述了一名89岁女性，其SCA起源于瓦尔萨尔瓦窦右侧，表现为胸痛和急性心肌梗死。我们成功地对SCA的开口病变进行了经皮冠状动脉介入治疗和支架置入，且未出现进一步并发症。患者于2天后出院，无不良并发症。
