Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Zweiker, R; Luha, O; Klein, WW.
Rescue percutaneous transluminal coronary angioplasty in a patient with a single coronary artery arising from the right Sinus Valsalvae: previously unreported scenario and review of literature.
J Intern Med. 2002; 252(1):84-87
Doi: 10.1046%2Fj.1365-2796.2002.01003.x
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- Führende Autor*innen der Med Uni Graz
- Zweiker Robert
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- Abstract:
- This is the first description of treatment with coronary stenting of a patient with a single coronary artery originating from the right Sinus Valsalvae and suffering from acute inferior myocardial infarction. Angiography showed the following: the right coronary artery (RCA) had a normal course, whilst the left anterior descending (LAD) as well as the left circumflex (LCX) branches both originated separately from the proximal RCA, which served as a common mixed trunk. The LAD crossed to the left in front of the right ventricular outflow tract, whilst the LCX, taking a retroaortic course to the atrioventricular groove, had a distal occlusion. According to an anatomically based classification considering all imaginable variations, this configuration corresponds to a II-D-1 pattern, which previously has been described only in a single postmortem case. After the LCX was reopened with a guide wire, a coronary stent was successfully inserted, resulting in TIMI-3 flow. Recovery was uneventful.
- Find related publications in this database (using NLM MeSH Indexing)
- Angioplasty, Transluminal, Percutaneous Coronary -
- Coronary Angiography -
- Coronary Vessel Anomalies - diagnosis
- Humans - diagnosis
- Male - diagnosis
- Middle Aged - diagnosis
- Myocardial Infarction - therapy
- Stents - therapy
- Find related publications in this database (Keywords)
- acute myocardial infarction
- percutaneous transluminal coronary angioplasty
- single coronary artery