We describe a case of a single coronary
artery originating from the right coronary
sinus and bifurcating into the left coronary
artery (LCA) and right coronary artery (RCA)
in a 74-year old woman, with a non-ST elevation
acute myocardial infarction (NSTEMI).
Diagnosis was made by coronary angiography
which ruled out stenosis, and showed normal
LCA and RCA branching. The connection path
of LCA, with the opposite cusp, was defined
retroaortic by multislice computed tomography
(CT). The variants of this coronary anomaly,
together with their clinical implications
and pathophysiology of acute myocardial
infarction (AMI) are discussed. Multislice CT
is fundamental for clinical decision making.
Coronary artery anomalies, single coronary artery, multislice computed tomography; right sinus of Valsalva.
Elio Venturini, via Brodolini 27/C, 57023 Cecina (Li), Italy. Tel: +39.0586.614210. E-mail: vent.elio@tin.it
2011-05-11T00:00:00
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