Management of a Patient With a Single Coronary Artery Anomaly During a Heart Attack

The presence of coronary arteries originating from the single coronary orifice is a rare congenital anomaly. In case of obstruction, the whole heart's nutrition is disrupted and diagnosis, intervention, and treatment are important as there is a risk of encountering high-risk clinical conditions, especially sudden cardiac death at a young age. In this article, we present a patient with coronary artery anomaly originating from a single coronary orifice and presenting to the emergency department with angina.

Keywords:

Coronary artery anomaly, single coronary artery angina, emergency medicine,

PDF

___

REFERENCE 1. Zeina A.R., Blinder J., Sharif D., Rosenschein U., Barmeir E. Congenital coronary artery anomalies in adults: non-invasive assessment with multidetector CT. Br J Radiol 2009; 82: 254-61.
REFERENCE 2.Kurşaklıoğlu H., İyisoy A., Çelik T., Günay C. Koroner arter anomalileri, Hacettepe Ün. Hastaneleri Basımevi, Birinci Basım, 2005,16-91.
REFERENCE 3.Yıldız A., Okçun B., Peker T., Arslan C., Olcay A., Bulent Vatan M. Prevalence of coronary artery anomalies in 12,457 adult patients who underwent coronary angiography. Clinical cardiology 2010, 33(12)
REFERENCE 4.Çilingiroğlu S. Evaluation of coronary artery anomalies with angiography in Turkish adult population. Turkiye Klinikleri J Cardiovasc Sci 2009;21(3):363-9
REFERENCE 5.Nathan M., Williamson A. K., Mayer J. E., Bacha E. A., Juraszek A. L. Mortality in hypoplastic left heart syndrome: review of 216 autopsy cases of aortic atresia with attention to coronary artery disease. The Journal of thoracic and cardiovascular surgery 2012, 144(6), 1301-1306.
REFERENCE 6.Taylor A.J., Rogor K.M., Virmani R. Sudden cardiac death associated with isolated congenital coronary artery anomalies. J Am Coll Cardiol 1992; 20:640-7
REFERENCE 7.Öztürk E. Coronary artery variations. Türkiye Klinikleri J Radiol-Special Topics 2011; 4: 13-8.
REFERENCE 8.Öztürk E., Sivrioğlu A. K. Normal Koroner Anatomi ve Varyasyonlar. Türk radyoloji seminerleri 2013, 1, 36-56.