Perisic Zoran D, Kostic Tomislav L, Djindjic Boris J
Clinic of Cardiology, Clinical Center Nis, Nis, Serbia.
J Int Med Res. 2020 Feb;48(2):300060519896709. doi: 10.1177/0300060519896709.
A single left coronary artery is a very rare anomaly in which only the left coronary artery arises from the aortic trunk by a single coronary ostium and supplies the entire heart. The present report is one of the few describing a patient with an anomalous right coronary artery originating from the middle of the left anterior descending artery. The patient presented with acute myocardial infarction with the culprit lesion on the left circumflex artery. Multivessel angioplasty was successfully performed in a two-step approach: the first for the culprit lesion and the second on the anomalous coronary artery. Decisions about treatment modalities for an anomalous coronary artery should be made only after considering the patient’s clinical characteristics and performing additional imaging diagnostics with a clearly defined coronary anatomy.
单一左冠状动脉是一种非常罕见的心脏血管异常情况，即只有左冠状动脉通过单一的冠状动脉口从主动脉干发出，并为整个心脏供血。本报告是少数描述一名右冠状动脉起源于左前降支中部异常情况患者的报告之一。该患者表现为急性心肌梗死，罪犯病变位于左旋支动脉。多支血管成形术分两步成功完成：第一步针对罪犯病变，第二步针对异常冠状动脉。对于异常冠状动脉的治疗方式决策，应仅在考虑患者临床特征并进行具有明确冠状动脉解剖结构的额外影像学诊断后做出。
