Patients with varying courses of single coronary artery: case series.

ABSTRACT:

Background

Single coronary artery (SCA) is a rare congenital anomaly where blood to the heart is supplied through a common trunk. Identifying these abnormalities is important because some variants can compromise myocardial blood flow and increase risk of sudden cardiac death.

Case summary

We present five patients with varying Lipton Group I and Group II SCA subtypes, corroborated on multi-imaging modalities and evaluated with comprehensive non-invasive as well as invasive testing. Their clinical presentations also vary from a spectrum of asymptomatic finding to angina equivalent. The decision for definitive surgical intervention involving unroofing of the involved vessel depends largely on symptoms and evidence of myocardial ischaemia.

Discussion

While SCA findings ar

SUBMITTER: Sheng CC 

PROVIDER: S-EPMC8515176 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature