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Date Published: 08/07/2022
Online Published: 08/07/2022
Abstract Views: 126
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DOI: https://doi.org/10.55046/vjrnm.01.96.2021
Issue
No. 01 (2021)
Section
Medical Forum
How to Cite
Nguyen Thi, H. ., Nguyen Ngoc, T. ., Nguyen Khoi, V. ., Le Thi Thuy, L. ., Hoang Thi Van, H. ., Ngoc Phung Bao, & Luu Vu Dang. (2022). Acute myocardial infarction in patient with single coronary artery: a case report. Vietnamese Journal of Radiology and Nuclear Medicine, 01, 73 - 76. https://doi.org/10.55046/vjrnm.01.96.2021

Acute myocardial infarction in patient with single coronary artery: a case report

Huyen Nguyen Thi1,, Trang Nguyen Ngoc, Viet Nguyen Khoi2, Lien Le Thi Thuy2, Hoa Hoang Thi Van2, Ngoc Phung Bao 2, Luu Vu Dang 1,2
1 Hanoi Medical University, Hanoi, Vietnam
2 Radiology Center, Bach Mai hospital, Hanoi, Vietnam

Main Article Content

Abstract

A single coronary artery (SCA) is a rare congenital anomaly. In most cases, it is an incidental finding on coronary angiography
and has no clinical significance. However, it can cause angina, myocardial infarction, or even sudden death. Reports of SCA
with acute myocardial infarction are very rare in the medical literature. This case study presents a patient with SCA from the
right aortic sinus with severe stenosis proximal and distal part of right coronary artery was made using cardiac angiography and
cardiac multidetector computed tomography (MDCT) with acute myocardial infarction.

Article Details

Keywords

coronary artery, anomalies, coronary angiography, cardiac MDCT

References

1. Muhyieddeen K, Polsani VR, Chang SM. Single right coronary artery with apical ischaemia. Eur Heart J Cardiovasc Imaging. 2012 Jun;13(6):533.
2. De Agustin JA, Marcos-Alberca P, Manzano MC et al. Percutaneous Intervention in a Single Coronary Artery: Evaluation of Multislice Tomography and Its Feasibility. Rev Esp Cardiol. 2010;63(5):607-11.
3. Lipton MJ, Barry WH, Obrez I, et al. Isolated single coronary artery: diagnosis, angiographic classification, and clinical significance. Radiology. 1979;130(1):39–47. doi:10.1148/130.1.39.
4. Angelini P, Velasco JA, Flamm S. Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation 2002;105:2449 –2454.
5. Desmet W, Vanhaecke J, Vrolix M, et al. Isolated single coronary artery: a review of 50,000 consecutive coronary angiographies. Eur Heart J 1992;13: 1637–1640.
6. Al Umairi R and Al-khouri M. Prevalence, Spectrum, and Outcomes of Single Coronary Artery Detected on Coronary Computed Tomography Angiography (CCTA). Radiology Research and Practice, 2019, e2940148, , accessed: 04/03/2021.
7. Turkmen S, Yolcu M, Sertcelik A et al. Single coronary artery incidence in 215,140 patients undergoing coronary angiography. Folia Morphol, 2014, 73 (4), 469–474.
8. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn. 1990;21(1):28–40. doi:10.1002/(ISSN)1097-0304.
9. Gür M, Demirbağ YA, Yılmaz R. Isolated single coronary artery originating from a single right coronary ostium in a patient with acute myocardial infarction. Arch Turk Soc Cardiol. 2006;34:173–176.
10. Giorgi B, Dymarkowski S, Rademakers FE, et al. Single coronary artery as cause of acute myocardial infarction in a 12-year-old girl: a
omprehensive approach with MR imaging. AJR Am J Roentgenol. 2002;179(6):1535–1537. doi:10.2214/ajr.179.6.1791535.
11. Liesting C, Brugts JJ, Johannes M, et al. Acute coronary syndrome in a patient with a single coronary artery arising from the right sinus of Valsalva. World J Cardiol. 2012; 4: 264-6.