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Single Arterial Trunk Supplying The Myocardium: A Rare Ensemble of Coronary Arteries.

Ramesh HC , Sunil PK , Ramesh HC , Vardaraju R , Chandra Sena ,

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Journal of Cardiovascular Medicine and Surgery 5(4):p 193-195, Oct-Dec 2019. | DOI: http://dx.doi.org/10.21088/jcms.2454.7123.5419.7

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Sunil PK, Ramesh HC, Vardaraju R, et al. Single Arterial Trunk Supplying The Myocardium: A Rare Ensemble of Coronary Arteries. J Cardiovasc Med Surg. 2019;5(4):193–195.


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Abstract

Single coronary artery (SCA) is a rare congenital anomaly which occurs in a structurally normal heart. We came across a patient presenting with typical angina radiating to left shoulder. Past history was unremarkable. Electrocardiogram (ECG) showed features of lateral wall myocardial infarction. Conventional angiogram (CAG) revealed a SCA (resembling Type R-III)1 supplying the entire myocardium with insignificant lesion in the distal half of right coronary artery (RCA). Cardiac computed tomography (CT) was done which confirmed the presence of SCA originating high above the right sinus of Valsalva. Conservative management was planned.

 


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Sunil PK, Ramesh HC, Vardaraju R, et al. Single Arterial Trunk Supplying The Myocardium: A Rare Ensemble of Coronary Arteries. J Cardiovasc Med Surg. 2019;5(4):193–195.


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DOI: http://dx.doi.org/10.21088/jcms.2454.7123.5419.7

Keywords

Single coronary artery (SCA); Lipton’s R-III subtype; Myocardial ischemia; Cardiac Computed tomography (CT). MINOCA (myocardial ischemia in non obstructive coronary artery disease).

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