Single Coronary Artery In Patient with Acute Coronary Syndrome

Abstract

It is a very rare anomaly in which all three coronary arteries arise from single ostium. The incidence of single coronary artery ranges from 0,02 % to 0,04 % (1) In this anomaly, while some types of this anomaly has no clinical importance, some other types may cause ischaemia and sudden death. In this case report, we present a hypertensive patient who has acute coronary syndrome with single coronary arising from right sinus of Valsalva.

Keywords

• Single Coronary Arter, Acute Coronary Syndrome.

Tek Koroner Arteri Olan Bir Hastada Akut Koroner Sendrom

Abstract

Tüm koroner arterlerin tek ostiumdan ç›kmas› oldukça nadir bir koroner anomalidir. Bu anomaliye %0,02- 0,04 oran›nda rastlanmaktad›r. Bu anomalilerin baz› tipleri klinik aç›dan önemsizken, bir k›sm› da iskemi ve ani ölüme sebep olabilmektedir. Bu vaka sunumunda akut koroner sendromlu hipertansif bir hastada sa¤ sinus valsalvadan ç›kan tek koroner arter anomalisi bildirilmifltir.

Keywords

• Tek Koroner Arter Anomalisi, Akut Koroner Sendrom.

References

1. Shirani J, Roberts WC. Solitary coronary ostium in the aorta in the absence of the major congenital cardiovascular anomalies. J Am Coll Cardiol 1993;2:137143.
2. Lipton MJ, Barry WH, Obrez I, Silverman JF, Wexler L. Isolated single coronary artery: diagnosis, angiographic classification, and clinical significance. Radiology 1979;130;3947.
3. Angelini, P, Villason, S, AV, Diez, JG: Normal and anomalous coronary arteries in humans. In Angelini P Editör. Coronary artery anomalies. Baltimore MA. Lippincott Williams & Wilkins. 1999, pp 5354.
4. Sharbaugh, AH, White, RS: Single coronary artery. Analysis of the anatomic variation, clinical importance and report of five cases. JAMA 1974;230;243-6.
5. Spring DA, Thomsen JH. Severe atherosclerosis in the "single coronary artery". Report a previously undescribed pattern. Am J Cardiol 1973;31:662-5.
6. Schwarz ER, Hager PK, Uebis R, Hanrath P, Klues HG. Myocardial ischaemia in a case of a solitary coronary ostium in the right aortic sinus with retroaortic course of the left coronary artery: documentation of the underlying pathophysiological mechanssms of ischaemia by intracoronary Doppler and pressure measurements. Heart 1998;80:307-11.